BRIAN LANCE ROZANSKI - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 212000133

BRIAN LANCE ROZANSKI

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000133

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

LANCE

Last Name

ROZANSKI

Business Name

BRIAN LANCE ROZANSKI

Original Issue Date

04/12/2006

Effective Date

07/05/2007

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2009