GRAYSLAKE FAMILY PRACTICE SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618074

License Status

NOT RENEWED

Business

Business Name

GRAYSLAKE FAMILY PRACTICE SC

Original Issue Date

10/07/2003

Effective Date

10/26/2006

Expiration Date

01/01/2008

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

02/15/2008