BLASE F ROMENCE DC SC Medical Corporation License verification

Business Entity

CLOSED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617619

License Status

CLOSED

Business

Business Name

BLASE F ROMENCE DC SC

Original Issue Date

04/03/2002

Effective Date

04/03/2002

Expiration Date

01/01/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/26/2006