TAMARA FATIANOV
Temporary Medical Permit
Illinois 125037756 Expired
This Illinois license was held by TAMARA FATIANOV. The license is no longer active. It was granted on 05/15/1998 and expired on 06/30/2002
LICENSE DETAILS
- License Number: 125037756
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 05/15/1998 (about 26 years ago)
- Expiry Date: 06/30/2002 (almost 22 years ago)
LOCATIONS
A Address
WILLOWBROOK, IL 60514