CRYSTAL LAKE CENTER FOR CHRONIC PAIN SC - Medical Corporation License in Illinois | # 042620547

CRYSTAL LAKE CENTER FOR CHRONIC PAIN SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620547

License Status

NOT RENEWED

Business

Y

Business Name

CRYSTAL LAKE CENTER FOR CHRONIC PAIN SC

Original Issue Date

05/10/2016

Effective Date

05/16/2019

Expiration Date

01/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023