CHARLES JOHN LOPEZ Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000139

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

JOHN

Last Name

LOPEZ

Business Name

CHARLES JOHN LOPEZ

Original Issue Date

03/01/2002

Effective Date

09/19/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2015