LAWRENCE ALBERT DEANGELO - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 212000129

LAWRENCE ALBERT DEANGELO

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000129

License Status

NOT RENEWED

Business

N

First Name

LAWRENCE

Middle

ALBERT

Last Name

DEANGELO

Business Name

LAWRENCE ALBERT DEANGELO

Original Issue Date

08/10/2005

Effective Date

09/30/2005

Expiration Date

09/30/2007

State

IL

Ever Disciplined

N

LastModifiedDate

07/05/2007