SHANDY LYNN RIVERA - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 213000338

SHANDY LYNN RIVERA

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000338

License Status

NOT RENEWED

Business

N

First Name

SHANDY

Middle

LYNN

Last Name

RIVERA

Business Name

SHANDY LYNN RIVERA

Original Issue Date

08/20/2015

Effective Date

08/20/2015

Expiration Date

09/30/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017