NIKTA PIROUZ Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000267

License Status

NOT RENEWED

Business

First Name

NIKTA

Last Name

PIROUZ

Business Name

NIKTA PIROUZ

Original Issue Date

09/14/2012

Effective Date

09/12/2017

Expiration Date

09/30/2019

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2020