MELISSA J STOCKWELL Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000256

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

STOCKWELL

Business Name

MELISSA J STOCKWELL

Original Issue Date

11/16/2011

Effective Date

07/16/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2015