CENTRAL ILLINOIS INTERNAL MEDICINE Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003655

License Status

NOT RENEWED

Business

Business Name

CENTRAL ILLINOIS INTERNAL MEDICINE

Original Issue Date

06/29/1979

Effective Date

06/29/1979

Expiration Date

01/01/1994

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/26/2006