FAMILY PRACTICE OF CENTRALIA SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003378

License Status

NOT RENEWED

Business

Business Name

FAMILY PRACTICE OF CENTRALIA SC

Original Issue Date

08/07/1978

Effective Date

08/07/1978

Expiration Date

01/01/1983

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/26/2006