ANDY AGEN DAVIS MD SC - Medical Corporation License in Illinois | # 042005754

ANDY AGEN DAVIS MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005754

License Status

NOT RENEWED

Business

Y

Business Name

ANDY AGEN DAVIS MD SC

Original Issue Date

03/01/1985

Effective Date

11/19/2015

Expiration Date

01/01/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017