MICHAEL DAVID BRNCICK - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 211000083

MICHAEL DAVID BRNCICK

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000083

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

DAVID

Last Name

BRNCICK

Business Name

MICHAEL DAVID BRNCICK

Original Issue Date

01/11/2002

Effective Date

07/29/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022