ELLEN JEAN GATES - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 212000157

ELLEN JEAN GATES

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000157

License Status

NOT RENEWED

Business

N

First Name

ELLEN

Middle

JEAN

Last Name

GATES

Business Name

ELLEN JEAN GATES

Original Issue Date

03/11/2009

Effective Date

09/17/2021

Expiration Date

09/30/2023

State

IL

Ever Disciplined

N

LastModifiedDate

02/02/2024