BLASE F ROMENCE DC SC - Medical Corporation License in Illinois | # 042617619

BLASE F ROMENCE DC SC

Business Entity

CLOSED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617619

License Status

CLOSED

Business

Y

Business Name

BLASE F ROMENCE DC SC

Original Issue Date

04/03/2002

Effective Date

04/03/2002

Expiration Date

01/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006