Illinois
Sangamon
Springfield
Surgery: General
canceled
C42920
male
1980
medical activities:
no activities identified
license issued on October 22, 1991;
Surgeon (General)
Specialist for: General Surgery
Indiana University School of Medicine (graduated in 1980)
Graduated in year 1980, Medical School: In University School of Medicine, Indianapolis, IN 46202
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Profile ID: FRUS-MDS-P-101535