FAIRVIEW HEIGHTS MEDICAL GROUP SC - Medical Corporation License in Illinois | # 042620562

FAIRVIEW HEIGHTS MEDICAL GROUP SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620562

License Status

NOT RENEWED

Business

Y

Business Name

FAIRVIEW HEIGHTS MEDICAL GROUP SC

BusinessDBA

ALTON INTERNAL MEDICINE

Original Issue Date

07/01/2016

Effective Date

12/19/2017

Expiration Date

01/01/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019