ADDISON PHYSICAL MEDICINE AND Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619725

License Status

NOT RENEWED

Business

Business Name

ADDISON PHYSICAL MEDICINE AND

Original Issue Date

12/02/2010

Effective Date

10/25/2012

Expiration Date

01/01/2014

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/19/2014