Terry J Supan
InactiveIllinois license 211000002
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 211000002
- Status
- Inactive
- First issued
- November 13, 2001
- Expired
- December 31, 2021
- License holder
- Terry J Supan
- Entity type
- Individual
Classifications
- Licensed Prosthetist (Ortho,Prost.,Pedorth) Therapy & Rehabilitation
More from the license record
- Current term began
- 11/13/2019
Other Illinois licenses under this name
-
IL
InactiveRochester, ILExpired Sep 30, 2009
-
IL
InactiveRochester, ILExpired Dec 31, 2021
Contact
Rochester, IL 62563
Sangamon County