ANTHONY LLEWELLYN GRAHAM - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 211000056

ANTHONY LLEWELLYN GRAHAM

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000056

License Status

NOT RENEWED

Business

N

First Name

ANTHONY

Middle

LLEWELLYN

Last Name

GRAHAM

Business Name

ANTHONY LLEWELLYN GRAHAM

Original Issue Date

12/06/2001

Effective Date

12/06/2001

Expiration Date

09/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

05/30/2006