BOULEVARD MEDICAL ASSOCIATES SC - Medical Corporation License in Illinois | # 042617519

BOULEVARD MEDICAL ASSOCIATES SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617519

License Status

NOT RENEWED

Business

Y

Business Name

BOULEVARD MEDICAL ASSOCIATES SC

Original Issue Date

11/27/2001

Effective Date

11/17/2014

Expiration Date

01/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016