T R TRIFONOFF MD & ASSOC SC Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042001626

License Status

CANCELLED

Business

Business Name

T R TRIFONOFF MD & ASSOC SC

Original Issue Date

12/01/1972

Effective Date

12/01/1972

Expiration Date

01/01/1985

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/26/2006