AUSAM CORP CHARTERED
Radiology at Memorial Dr, Alton, IL

License number
Illinois 36117470
Category
Radiology
Type
Radiation Oncology
Owner
Name: DR. SAMUEL PORIZA AU MD, PHD
Title: PRESIDENT
Phone: (618) 433-7979
Address
Address
6 Memorial Dr, Alton, IL 62002
National Provider ID: 1821110495
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AUSAM CORP CHARTERED at bizstanding.com

AUSAM CORP, CHARTERED

Alton, IL 62002

Status:
Inactive
Registration:
Feb 5, 2007
State ID:
65370514
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Samuel P Au,6 Memorial Dr, Alton, IL 62002 (Physical)

Radiology licenses in Illinois










Other Doctors licenses in Illinois