ILLINI FAMILY MEDICINE OF CENTRAL ILL SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006864

License Status

NOT RENEWED

Business

Business Name

ILLINI FAMILY MEDICINE OF CENTRAL ILL SC

Original Issue Date

07/11/1991

Effective Date

04/17/2017

Expiration Date

01/01/2018

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/10/2018