DEANNA ELAINE LARSON - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 211000265

DEANNA ELAINE LARSON

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000265

License Status

NOT RENEWED

Business

N

First Name

DEANNA

Middle

ELAINE

Last Name

LARSON

Business Name

DEANNA ELAINE LARSON

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

09/30/2013

State

IL

Ever Disciplined

N

LastModifiedDate

11/12/2013