LAKE SHORE INTERNAL MEDICINE SC - Medical Corporation License in Illinois | # 042619308

LAKE SHORE INTERNAL MEDICINE SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619308

License Status

NOT RENEWED

Business

Y

Business Name

LAKE SHORE INTERNAL MEDICINE SC

Original Issue Date

07/16/2008

Effective Date

12/17/2009

Expiration Date

01/01/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2011