TARA NICOLE FERENCIK Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000089

License Status

NOT RENEWED

Business

First Name

TARA

Middle

NICOLE

Last Name

FERENCIK

Business Name

TARA NICOLE FERENCIK

Original Issue Date

01/16/2002

Effective Date

09/26/2023

Expiration Date

09/30/2025

City

LECLAIRE

State

Zip

52753

County

IOWA

Ever Disciplined

LastModifiedDate

12/30/2025