R F PRUDENCIO MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042007931

License Status

NOT RENEWED

Business

Business Name

R F PRUDENCIO MD SC

Original Issue Date

03/11/1997

Effective Date

03/11/1997

Expiration Date

01/01/2003

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006