FAIRVIEW HEIGHTS MEDICAL GROUP SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620210

License Status

NOT RENEWED

Business

Business Name

FAIRVIEW HEIGHTS MEDICAL GROUP SC

BusinessDBA

ALTON INTERNAL MEDICINE

Original Issue Date

10/11/2013

Effective Date

01/07/2016

Expiration Date

01/01/2017

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

05/10/2017