LAKE SHORE MEDICAL GROUP S C - Medical Corporation License in Illinois | # 042001091

LAKE SHORE MEDICAL GROUP S C

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042001091

License Status

NOT RENEWED

Business

Y

Business Name

LAKE SHORE MEDICAL GROUP S C

Original Issue Date

01/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006