SOUTHWEST PRIMARY CARE GROUP SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042616906

License Status

NOT RENEWED

Business

Business Name

SOUTHWEST PRIMARY CARE GROUP SC

Original Issue Date

05/18/1999

Effective Date

05/18/1999

Expiration Date

01/01/2005

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006