PARK WEST FAMILY PHYSICIANS SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617523

License Status

NOT RENEWED

Business

Business Name

PARK WEST FAMILY PHYSICIANS SC

Original Issue Date

12/04/2001

Effective Date

12/17/2018

Expiration Date

01/01/2022

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2023