LAKE SHORE PLASTIC SURGERY SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042616962

License Status

NOT RENEWED

Business

Business Name

LAKE SHORE PLASTIC SURGERY SC

Original Issue Date

09/23/1999

Effective Date

09/23/1999

Expiration Date

01/01/2004

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006