FAIRVIEW HEIGHTS MEDICAL GROUP SC - Medical Corporation License in Illinois | # 042620443

FAIRVIEW HEIGHTS MEDICAL GROUP SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620443

License Status

NOT RENEWED

Business

Y

Business Name

FAIRVIEW HEIGHTS MEDICAL GROUP SC

BusinessDBA

ALTON INTERNAL MEDICINE

Original Issue Date

05/15/2015

Effective Date

12/15/2021

Expiration Date

01/01/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/03/2025