JEFF D MUDRICK MD
Temporary Medical Permit
Illinois 125047747 Expired
This Illinois license was held by JEFF D MUDRICK MD. The license is no longer active. It was granted on 06/21/2004 and expired on 06/20/2007
LICENSE DETAILS
- License Number: 125047747
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 06/21/2004 (almost 21 years ago)
- Expiry Date: 06/20/2007 (almost 18 years ago)
LOCATIONS
A Address
Manhattan, KS 66502