BRIDGEPORT FAMILY MEDICAL Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042001230

License Status

NOT RENEWED

Business

Business Name

BRIDGEPORT FAMILY MEDICAL

Original Issue Date

01/01/1998

Expiration Date

01/01/1982

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006