KEVIN JOHN GROGAN Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000076

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

JOHN

Last Name

GROGAN

Business Name

KEVIN JOHN GROGAN

Original Issue Date

01/29/2002

Effective Date

01/29/2002

Expiration Date

09/30/2005

City

CASCADE

State

Zip

52033

County

IOWA

Ever Disciplined

LastModifiedDate

05/30/2006