LAKE SHORE MEDICAL CLINIC LTD - Medical Corporation License in Illinois | # 042005922

LAKE SHORE MEDICAL CLINIC LTD

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005922

License Status

NOT RENEWED

Business

Y

Business Name

LAKE SHORE MEDICAL CLINIC LTD

Original Issue Date

01/17/1986

Effective Date

02/01/2019

Expiration Date

01/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023