LAKE SHORE INTERNAL MEDICINE SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619308

License Status

NOT RENEWED

Business

Business Name

LAKE SHORE INTERNAL MEDICINE SC

Original Issue Date

07/16/2008

Effective Date

12/17/2009

Expiration Date

01/01/2011

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

02/08/2011