CHARLES L DICKENS
Temporary Medical Permit
Illinois 125030793 Not Renewed
This Illinois license was held by CHARLES L DICKENS. The license is no longer active. It was granted on 12/15/1993 and expired on 12/08/1996
LICENSE DETAILS
- License Number: 125030793
- Category: TEMPORARY MEDICAL PERMIT
- Status: Not Renewed
- Date Granted: 12/15/1993 (over 31 years ago)
- Expiry Date: 12/08/1996 (over 28 years ago)
LOCATIONS
A Address
DIXON, IL 61021