TAZEWELL PHYSICAL MEDICINE SC Medical Corporation License verification

Business Entity

ACTIVE

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618956

License Status

ACTIVE

Business

Business Name

TAZEWELL PHYSICAL MEDICINE SC

Original Issue Date

11/30/2006

Effective Date

11/04/2024

Expiration Date

01/01/2028

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/04/2024