DAVID J KRUPA Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000197

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

KRUPA

Business Name

DAVID J KRUPA

Original Issue Date

12/06/2005

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2009