PRAIRIE SPINE & PAIN INSTITUTE SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619286

License Status

NOT RENEWED

Business

Business Name

PRAIRIE SPINE & PAIN INSTITUTE SC

Original Issue Date

06/12/2008

Effective Date

11/30/2021

Expiration Date

01/01/2025

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/03/2025