DENNIS EDGAR CLARK Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000108

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

EDGAR

Last Name

CLARK

Business Name

DENNIS EDGAR CLARK

Original Issue Date

01/29/2002

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

WATERLOO

State

Zip

50701

County

IOWA

Ever Disciplined

LastModifiedDate

07/05/2007