TINA M F GINGRICH MD Professional Service Corporation License verification

Business Entity

NOT RENEWED

License Type

Professional Service Corporation

Description

REGISTERED PROFESSIONAL SERVICE CORPORATION

License Number

060006160

License Status

NOT RENEWED

Business

Business Name

TINA M F GINGRICH MD

Original Issue Date

05/26/1994

Effective Date

05/26/1994

Expiration Date

01/01/1996

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

09/28/2006