ANTHONY M FERNANDEZ
Temporary Medical Permit
Illinois 125042536 Expired
This Illinois license was held by ANTHONY M FERNANDEZ. The license is no longer active. It was granted on 06/25/2001 and expired on 06/24/2004
LICENSE DETAILS
- License Number: 125042536
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 06/25/2001 (almost 24 years ago)
- Expiry Date: 06/24/2004 (almost 21 years ago)
LOCATIONS
A Address
WOODRIDGE, IL 60517