FAIRVIEW HEIGHTS MEDICAL GROUP SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620209

License Status

NOT RENEWED

Business

Business Name

FAIRVIEW HEIGHTS MEDICAL GROUP SC

BusinessDBA

ALTON INTERNAL MEDICINE

Original Issue Date

10/11/2013

Effective Date

12/04/2018

Expiration Date

01/01/2022

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

02/15/2023