LAKE SHORE MEDICAL CONSULTANTS SC - Medical Corporation License in Illinois | # 042006637

LAKE SHORE MEDICAL CONSULTANTS SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006637

License Status

NOT RENEWED

Business

Y

Business Name

LAKE SHORE MEDICAL CONSULTANTS SC

Original Issue Date

02/17/1990

Effective Date

01/01/2022

Expiration Date

01/01/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/03/2025