TERENCE LOU DALLO AGUSTIN MD
Temporary Medical Permit
Illinois 125050489 Expired
This Illinois license was held by TERENCE LOU DALLO AGUSTIN MD. The license is no longer active. It was granted on 07/22/2005 and expired on 10/19/2008
LICENSE DETAILS
- License Number: 125050489
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 07/22/2005 (almost 20 years ago)
- Expiry Date: 10/19/2008 (over 16 years ago)
LOCATIONS
A Address
HENDERSON, NV 89074