KENNETH WILLIAM FERENCIK Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000118

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

WILLIAM

Last Name

FERENCIK

Business Name

KENNETH WILLIAM FERENCIK

Original Issue Date

01/29/2002

Effective Date

09/30/2013

Expiration Date

09/30/2015

City

CORDOVA

State

Zip

61242

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/03/2015