DAVID J GREATHOUSE DO PHD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618390

License Status

NOT RENEWED

Business

Business Name

DAVID J GREATHOUSE DO PHD SC

Original Issue Date

11/15/2004

Effective Date

10/23/2013

Expiration Date

01/01/2015

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

11/04/2015