LAKE SHORE RETINA SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619479

License Status

NOT RENEWED

Business

Business Name

LAKE SHORE RETINA SC

Original Issue Date

03/20/2009

Effective Date

04/11/2017

Expiration Date

01/01/2018

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2018