IBARRA INTERVENTIONAL PAIN MANAGEMENT SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618696

License Status

NOT RENEWED

Business

Business Name

IBARRA INTERVENTIONAL PAIN MANAGEMENT SC

Original Issue Date

11/17/2005

Effective Date

01/06/2011

Expiration Date

01/01/2012

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

03/22/2012