LAKE SHORE RETINA SC - Medical Corporation License in Illinois | # 042619479

LAKE SHORE RETINA SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619479

License Status

NOT RENEWED

Business

Y

Business Name

LAKE SHORE RETINA SC

Original Issue Date

03/20/2009

Effective Date

04/11/2017

Expiration Date

01/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2018