KELLY MARIE LEE Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000190

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

LEE

Business Name

KELLY MARIE LEE

Original Issue Date

03/03/2005

Effective Date

08/21/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

08/21/2025