ANTHONY LLEWELLYN GRAHAM Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000056

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

LLEWELLYN

Last Name

GRAHAM

Business Name

ANTHONY LLEWELLYN GRAHAM

Original Issue Date

12/06/2001

Effective Date

12/06/2001

Expiration Date

09/30/2005

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/30/2006