DWAYNE G STELLY Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

INACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000197

License Status

INACTIVE

Business

First Name

DWAYNE

Middle

Last Name

STELLY

Business Name

DWAYNE G STELLY

Original Issue Date

04/01/2003

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

FORT LAUDERDALE

State

Zip

33308

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/25/2007