SAMUEL D SANTA RITA - Orthotist, Prosthetist, and Pedorthist License in Indiana | # 211000316

SAMUEL D SANTA RITA

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000316

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Middle

D

Last Name

SANTA RITA

Business Name

SAMUEL D SANTA RITA

Original Issue Date

08/15/2016

Effective Date

08/15/2017

Expiration Date

09/30/2019

State

IN

Ever Disciplined

N

LastModifiedDate

01/13/2020