J RENE DADIVAS MD SC - Medical Corporation License in Illinois | # 042003940

J RENE DADIVAS MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003940

License Status

NOT RENEWED

Business

Y

Business Name

J RENE DADIVAS MD SC

Original Issue Date

02/04/1980

Effective Date

02/04/1980

Expiration Date

01/01/1987

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006