DERMATOLOGY OF SOUTHERN ILLINOIS SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042007092

License Status

NOT RENEWED

Business

Business Name

DERMATOLOGY OF SOUTHERN ILLINOIS SC

Original Issue Date

11/18/1992

Effective Date

11/18/1992

Expiration Date

01/01/1994

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/26/2006