GREGORY LEE PENFOLD - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 211000266

GREGORY LEE PENFOLD

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000266

License Status

NOT RENEWED

Business

N

First Name

GREGORY

Middle

LEE

Last Name

PENFOLD

Business Name

GREGORY LEE PENFOLD

Original Issue Date

08/08/2012

Effective Date

08/08/2012

Expiration Date

09/30/2013

State

IL

Ever Disciplined

N

LastModifiedDate

11/12/2013