SOUTHERN ILL HEAD NECK AND HEARING SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042002038

License Status

NOT RENEWED

Business

Business Name

SOUTHERN ILL HEAD NECK AND HEARING SC

Original Issue Date

03/19/1974

Effective Date

03/19/1974

Expiration Date

01/01/1983

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/26/2006