JEFFERSON STREET CLINIC SC - Medical Corporation License in Illinois | # 042000863

JEFFERSON STREET CLINIC SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042000863

License Status

NOT RENEWED

Business

Y

Business Name

JEFFERSON STREET CLINIC SC

Original Issue Date

01/01/1998

Effective Date

12/10/2009

Expiration Date

01/01/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2011