NACER KHENOUCHE CPO Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000279

License Status

NOT RENEWED

Business

Title

CPO

First Name

NACER

Last Name

KHENOUCHE

Business Name

NACER KHENOUCHE CPO

Original Issue Date

02/05/2014

Effective Date

10/22/2015

Expiration Date

09/30/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017