Terry J Supan
InactiveIllinois license 212000003
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 212000003
- Status
- Inactive
- First issued
- December 7, 2001
- Expired
- September 30, 2009
- License holder
- Terry J Supan
- Entity type
- Individual
Classifications
- Licensed Pedorthist (Ortho,Prost.,Pedorth) Therapy & Rehabilitation
More from the license record
- Current term began
- 07/05/2007
Other Illinois licenses under this name
-
IL
InactiveRochester, ILExpired Dec 31, 2021
-
IL
InactiveRochester, ILExpired Dec 31, 2021
Contact
Rochester, IL 62563
Sangamon County