JACOB RYAN MATTINGLY - Orthotist, Prosthetist, and Pedorthist License in Missouri | # 213000456

JACOB RYAN MATTINGLY

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000456

License Status

NOT RENEWED

Business

N

First Name

JACOB

Middle

RYAN

Last Name

MATTINGLY

Business Name

JACOB RYAN MATTINGLY

Original Issue Date

04/16/2024

Effective Date

04/16/2024

Expiration Date

09/30/2025

State

MO

Ever Disciplined

N

LastModifiedDate

12/30/2025