FAIRVIEW HEIGHTS MEDICAL GROUP SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620463

License Status

NOT RENEWED

Business

Business Name

FAIRVIEW HEIGHTS MEDICAL GROUP SC

BusinessDBA

ALTON INTERNAL MEDICINE

Original Issue Date

08/10/2015

Effective Date

01/07/2016

Expiration Date

01/01/2017

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/10/2017