LAKE SHORE GASTROENTEROLOGY SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617686

License Status

NOT RENEWED

Business

Business Name

LAKE SHORE GASTROENTEROLOGY SC

Original Issue Date

06/07/2002

Effective Date

01/09/2012

Expiration Date

01/01/2013

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

02/21/2013