PAWEL BRZONZKA Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000259

License Status

NOT RENEWED

Business

First Name

PAWEL

Last Name

BRZONZKA

Business Name

PAWEL BRZONZKA

Original Issue Date

12/13/2011

Effective Date

12/13/2011

Expiration Date

09/30/2013

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

11/12/2013