JOHN EDWARD GUEST Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000094

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

EDWARD

Last Name

GUEST

Business Name

JOHN EDWARD GUEST

Original Issue Date

01/21/2002

Effective Date

09/16/2013

Expiration Date

09/30/2015

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

11/03/2015