JERSEYVILLE PAIN MANAGEMENT CENTER SC - Medical Corporation License in Illinois | # 042618378

JERSEYVILLE PAIN MANAGEMENT CENTER SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618378

License Status

NOT RENEWED

Business

Y

Business Name

JERSEYVILLE PAIN MANAGEMENT CENTER SC

Original Issue Date

11/03/2004

Effective Date

11/24/2010

Expiration Date

01/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

03/22/2012