ROM A STEVENS MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617790

License Status

NOT RENEWED

Business

Business Name

ROM A STEVENS MD SC

Original Issue Date

10/28/2002

Effective Date

10/20/2010

Expiration Date

01/01/2012

City

INDIAN HEAD PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

03/22/2012