PHOENIX MEDICAL PRACTICE CORP SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042007873

License Status

NOT RENEWED

Business

Business Name

PHOENIX MEDICAL PRACTICE CORP SC

Original Issue Date

12/02/1996

Effective Date

04/19/2017

Expiration Date

01/01/2018

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

04/10/2018