JEFFERSON STREET CLINIC SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042000863

License Status

NOT RENEWED

Business

Business Name

JEFFERSON STREET CLINIC SC

Original Issue Date

01/01/1998

Effective Date

12/10/2009

Expiration Date

01/01/2011

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/08/2011