STACEY ELLEN BAN
Temporary Medical Permit
Illinois 125040889 Expired
This Illinois license was held by STACEY ELLEN BAN. The license is no longer active. It was granted on 07/01/2000 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 125040889
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 07/01/2000 (about 26 years ago)
- Expiry Date: 06/30/2003 (about 23 years ago)
LOCATIONS
A Address
DEERFIELD, IL 60015