TRACY LYNN MOORE - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 213000178

TRACY LYNN MOORE

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000178

License Status

NOT RENEWED

Business

N

First Name

TRACY

Middle

LYNN

Last Name

MOORE

Business Name

TRACY LYNN MOORE

Original Issue Date

07/12/2002

Effective Date

09/25/2009

Expiration Date

09/30/2011

State

IL

Ever Disciplined

N

LastModifiedDate

12/14/2011