ADRIENNE B NEITHARDT
Temporary Medical Permit
Illinois 125035799 Expired
This Illinois license was held by ADRIENNE B NEITHARDT. The license is no longer active. It was granted on 05/06/1997 and expired on 06/16/2000
LICENSE DETAILS
- License Number: 125035799
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 05/06/1997 (about 28 years ago)
- Expiry Date: 06/16/2000 (about 25 years ago)
LOCATIONS
A Address
GERMANTOWN, MD 20874