PROVIDA HEALTH CENTER SC Medical Corporation License verification

Business Entity

ACTIVE

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042616958

License Status

ACTIVE

Business

Business Name

PROVIDA HEALTH CENTER SC

BusinessDBA

PROVIDA FAMILY MEDICINE

Original Issue Date

09/10/1999

Effective Date

05/06/2025

Expiration Date

01/01/2028

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

04/29/2025