EDWARD J ROMAN II Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

INACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000054

License Status

INACTIVE

Business

First Name

EDWARD

Middle

Last Name

ROMAN

Suffix

Business Name

EDWARD J ROMAN II

Original Issue Date

11/30/2001

Effective Date

10/03/2011

Expiration Date

09/30/2013

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2013