DAVID M PROCTER Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000084

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

PROCTER

Business Name

DAVID M PROCTER

Original Issue Date

01/15/2002

Effective Date

07/26/2011

Expiration Date

09/30/2013

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/12/2013