ROBERT ROY GENAZE Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000059

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

ROY

Last Name

GENAZE

Business Name

ROBERT ROY GENAZE

Original Issue Date

12/07/2001

Effective Date

07/12/2019

Expiration Date

01/31/2022

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022