EVAN PETER ZILLICH Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000244

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

PETER

Last Name

ZILLICH

Business Name

EVAN PETER ZILLICH

Original Issue Date

08/25/2010

Effective Date

07/22/2013

Expiration Date

09/30/2015

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

11/03/2015