EDGEBROOK DERMATOLOGY PC Professional Service Corporation License verification

Business Entity

NOT RENEWED

License Type

Professional Service Corporation

Description

REGISTERED PROFESSIONAL SERVICE CORPORATION

License Number

060006689

License Status

NOT RENEWED

Business

Business Name

EDGEBROOK DERMATOLOGY PC

Original Issue Date

08/19/1996

Effective Date

08/19/1996

Expiration Date

01/01/1998

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/28/2006