PARK WEST FAMILY PRACTICE SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005284

License Status

NOT RENEWED

Business

Business Name

PARK WEST FAMILY PRACTICE SC

Original Issue Date

10/15/1982

Effective Date

12/07/2015

Expiration Date

01/01/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017