Basava P Ancha
Temporary Medical Permit
Illinois 125025686 Expired
This Illinois license was held by Basava P Ancha. The license is no longer active. It was granted on 06/23/1990 and expired on 06/24/1993
LICENSE DETAILS
- License Number: 125025686
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 06/23/1990 (almost 34 years ago)
- Expiry Date: 06/24/1993 (almost 31 years ago)
LOCATIONS
A Address
Orland Park, IL 604678210