FIFTH AVE PRIMARY CARE PHYSICIANS SC - Medical Corporation License in Illinois | # 042003468

FIFTH AVE PRIMARY CARE PHYSICIANS SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003468

License Status

NOT RENEWED

Business

Y

Business Name

FIFTH AVE PRIMARY CARE PHYSICIANS SC

Original Issue Date

10/31/1978

Effective Date

01/23/2018

Expiration Date

01/01/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019