AMBULATORY CENTER FOR ENDOSCOPIC SPINE SC - Medical Corporation License in Illinois | # 042619081

AMBULATORY CENTER FOR ENDOSCOPIC SPINE SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619081

License Status

NOT RENEWED

Business

Y

Business Name

AMBULATORY CENTER FOR ENDOSCOPIC SPINE SC

Original Issue Date

06/13/2007

Effective Date

05/29/2019

Expiration Date

01/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023