MARK LYLE EDWARDS Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000129

License Status

NOT RENEWED

Business

First Name

MARK

Middle

LYLE

Last Name

EDWARDS

Business Name

MARK LYLE EDWARDS

Original Issue Date

02/14/2002

Effective Date

09/17/2013

Expiration Date

09/30/2015

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2015