LAKE SHORE PEDIATRICS LTD - Medical Corporation License in Illinois | # 042005605

LAKE SHORE PEDIATRICS LTD

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005605

License Status

NOT RENEWED

Business

Y

Business Name

LAKE SHORE PEDIATRICS LTD

Original Issue Date

05/04/1984

Effective Date

12/20/2010

Expiration Date

01/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

03/22/2012