DIRECT CARE PHYSICIAN SERVICES SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620055

License Status

NOT RENEWED

Business

Business Name

DIRECT CARE PHYSICIAN SERVICES SC

Original Issue Date

10/10/2012

Effective Date

11/20/2015

Expiration Date

01/01/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017