MARTA SHUSHUNOV MD PC Professional Service Corporation License verification

Business Entity

CANCELLED

License Type

Professional Service Corporation

Description

REGISTERED PROFESSIONAL SERVICE CORPORATION

License Number

060004439

License Status

CANCELLED

Business

Business Name

MARTA SHUSHUNOV MD PC

Original Issue Date

08/15/1986

Effective Date

08/15/1986

Expiration Date

01/01/1991

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/28/2006