MARTIN W BUCKNER Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000186

License Status

ACTIVE

Business

First Name

MARTIN

Middle

Last Name

BUCKNER

Business Name

MARTIN W BUCKNER

Original Issue Date

10/18/2004

Effective Date

09/17/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

09/17/2025