BROOKSIDE MEDICAL GROUP PC Professional Service Corporation License verification

Business Entity

INOPERATIVE

License Type

Professional Service Corporation

Description

REGISTERED PROFESSIONAL SERVICE CORPORATION

License Number

060004789

License Status

INOPERATIVE

Business

Business Name

BROOKSIDE MEDICAL GROUP PC

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

01/01/2000

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/28/2006