LAKE VILLA INTERNAL MEDICINE SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617439

License Status

NOT RENEWED

Business

Business Name

LAKE VILLA INTERNAL MEDICINE SC

Original Issue Date

08/07/2001

Effective Date

10/26/2006

Expiration Date

01/01/2008

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

02/15/2008