FIFTH AVE PRIMARY CARE PHYSICIANS SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003468

License Status

NOT RENEWED

Business

Business Name

FIFTH AVE PRIMARY CARE PHYSICIANS SC

Original Issue Date

10/31/1978

Effective Date

01/23/2018

Expiration Date

01/01/2019

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

03/28/2019