Theresa M Fairbank
ExpiredIllinois license 085002912
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085002912
- Status
- Expired (Not Renewed)
- First issued
- December 11, 2006
- Expired
- March 1, 2008
- License holder
- Theresa M Fairbank
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 12/11/2006
Contact
Nashville, TN 37209