PHILLIP EDGAR AINSWORTH Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000152

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

EDGAR

Last Name

AINSWORTH

Business Name

PHILLIP EDGAR AINSWORTH

Original Issue Date

05/03/2002

Effective Date

05/03/2002

Expiration Date

09/30/2005

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/30/2006