JOHAN MICHAEL SMITH Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000235

License Status

NOT RENEWED

Business

First Name

JOHAN

Middle

MICHAEL

Last Name

SMITH

Business Name

JOHAN MICHAEL SMITH

Original Issue Date

02/02/2009

Effective Date

09/07/2017

Expiration Date

09/30/2019

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

01/13/2020

Case Number

2018005799

Action

Suspension

Discipline Start Date

08/24/2018

Discipline End Date

01/26/2021

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/27/2021.