DARLENE E FOGG
Temporary Medical Permit
Illinois 125036444 Canceled
This Illinois license was held by DARLENE E FOGG. The license is no longer active. It was granted on 06/05/1997 and expired on 06/21/2000
LICENSE DETAILS
- License Number: 125036444
- Category: TEMPORARY MEDICAL PERMIT
- Status: Canceled
- Date Granted: 06/05/1997 (almost 28 years ago)
- Expiry Date: 06/21/2000 (almost 25 years ago)
LOCATIONS
A Address
LEBANON, TN 37087