LAKE SHORE PEDIATRICS OF DECATUR SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042616828

License Status

NOT RENEWED

Business

Business Name

LAKE SHORE PEDIATRICS OF DECATUR SC

Original Issue Date

12/03/1998

Effective Date

12/03/1998

Expiration Date

01/01/2002

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/26/2006