PEGGY E CHATHAM
Medical Practice at Congo Ct, Cape Coral, FL

License number
Florida 91216
Issued Date
Aug 6, 2004
Effective Date
Jan 29, 2015
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address 2
5370 Congo Ct, Cape Coral, FL 33904
100 Emancipation Dr, Hampton, VA 23667

Organization information

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PEGGY E. CHATHAM, MD, MHSA, LLC

5350 Congo Ct, Cape Coral, FL 33904

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Apr 13, 2005
Inactive since:
Sep 26, 2008
State ID:
L05000037103
Business type:
Florida Limited Liability Company
Director:
Peggy E Chatham Director, inactive, 5370 Congo Ct, Cape Coral, FL 33904 (Physical)
Agent:
Peggy Chatham,5350 Congo Ct, Cape Coral, FL 33904 (Physical)
EIN:
76-0797740