THEODORE S INGRASSIA III MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006994

License Status

NOT RENEWED

Business

Business Name

THEODORE S INGRASSIA III MD SC

Original Issue Date

05/09/1992

Effective Date

11/16/2015

Expiration Date

01/01/2017

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017