PAUL DEAN BENNETT - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 212000078

PAUL DEAN BENNETT

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000078

License Status

NOT RENEWED

Business

N

First Name

PAUL

Middle

DEAN

Last Name

BENNETT

Business Name

PAUL DEAN BENNETT

Original Issue Date

01/29/2002

Effective Date

01/29/2002

Expiration Date

09/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

05/30/2006