DARYL G BARTH Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

INACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000022

License Status

INACTIVE

Business

First Name

DARYL

Middle

Last Name

BARTH

Business Name

DARYL G BARTH

Original Issue Date

10/09/2001

Effective Date

07/21/2015

Expiration Date

09/30/2017

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/07/2017