PHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619791

License Status

NOT RENEWED

Business

Business Name

PHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD

Original Issue Date

05/26/2011

Effective Date

11/02/2012

Expiration Date

01/01/2014

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

02/19/2014