ERIC A KIVISTO DO
Temporary Medical Permit
Illinois 125024084 Expired
This Illinois license was held by ERIC A KIVISTO DO. The license is no longer active. It was granted on 06/17/1989 and expired on 06/22/1992
LICENSE DETAILS
- License Number: 125024084
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 06/17/1989 (almost 36 years ago)
- Expiry Date: 06/22/1992 (almost 33 years ago)
LOCATIONS
A Address
Mendota, IL 61342