MAPLE AVENUE MEDICAL - Medical Corporation License in Illinois | # 042006282

MAPLE AVENUE MEDICAL

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006282

License Status

NOT RENEWED

Business

Y

Business Name

MAPLE AVENUE MEDICAL

Original Issue Date

11/26/1987

Effective Date

11/26/1987

Expiration Date

01/01/1992

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006