FAIRVIEW HEIGHTS MEDICAL GROUP SC - Medical Corporation License in Illinois | # 042620640

FAIRVIEW HEIGHTS MEDICAL GROUP SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620640

License Status

NOT RENEWED

Business

Y

Business Name

FAIRVIEW HEIGHTS MEDICAL GROUP SC

BusinessDBA

ALTON INTERNAL MEDICINE

Original Issue Date

05/18/2017

Effective Date

12/04/2018

Expiration Date

01/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023