CRAIG R GORHAM Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000040

License Status

NOT RENEWED

Business

First Name

CRAIG

Middle

Last Name

GORHAM

Business Name

CRAIG R GORHAM

Original Issue Date

11/08/2001

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/04/2009