CARLOS BAUTISTA
Temporary Medical Permit
Illinois 125044345 Canceled
This Illinois license was held by CARLOS BAUTISTA. The license expired on 06/30/2005.
LICENSE DETAILS
- License Number: 125044345
- Category: TEMPORARY MEDICAL PERMIT
- Status: Canceled
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
ROCKFORD, IL 61104-2232