BRIAN SCOTT TOLSMA Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000268

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

SCOTT

Last Name

TOLSMA

Business Name

BRIAN SCOTT TOLSMA

Original Issue Date

10/16/2012

Effective Date

08/03/2017

Expiration Date

09/30/2019

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2020