FRED CHAMPAGNE M D S C Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042001378

License Status

NOT RENEWED

Business

Business Name

FRED CHAMPAGNE M D S C

Original Issue Date

01/01/1998

Expiration Date

01/01/1997

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006