LISA M GRANT
Temporary Medical Permit
Illinois 125039431 Canceled
This Illinois license was held by LISA M GRANT. The license is no longer active. It was granted on 06/28/1999 and expired on 06/27/2002
LICENSE DETAILS
- License Number: 125039431
- Category: TEMPORARY MEDICAL PERMIT
- Status: Canceled
- Date Granted: 06/28/1999 (almost 25 years ago)
- Expiry Date: 06/27/2002 (almost 22 years ago)
LOCATIONS
A Address
PARK RIDGE, IL 60068