UMANG GAUTAM
Temporary Medical Permit
Illinois 125034830 Expired
This Illinois license was held by UMANG GAUTAM. The license is no longer active. It was granted on 06/03/1996 and expired on 06/24/1999
LICENSE DETAILS
- License Number: 125034830
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 06/03/1996 (almost 29 years ago)
- Expiry Date: 06/24/1999 (almost 26 years ago)
LOCATIONS
A Address
COLUMBIA, MO 65203