COUNTRYSIDE MEDICAL GROUP SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042002212

License Status

NOT RENEWED

Business

Business Name

COUNTRYSIDE MEDICAL GROUP SC

Original Issue Date

12/11/1975

Effective Date

12/11/1975

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006