MICHAEL DAVID BRNCICK Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000083

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

BRNCICK

Business Name

MICHAEL DAVID BRNCICK

Original Issue Date

01/11/2002

Effective Date

07/29/2019

Expiration Date

01/31/2022

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

05/18/2022