LAKE SHORE GASTROENTEROLOGY SC - Medical Corporation License in Illinois | # 042617686

LAKE SHORE GASTROENTEROLOGY SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617686

License Status

NOT RENEWED

Business

Y

Business Name

LAKE SHORE GASTROENTEROLOGY SC

Original Issue Date

06/07/2002

Effective Date

01/09/2012

Expiration Date

01/01/2013

State

IL

Ever Disciplined

N

LastModifiedDate

02/21/2013