ELLIE ANN BOOMER Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000297

License Status

ACTIVE

Business

First Name

ELLIE

Middle

ANN

Last Name

BOOMER

Business Name

ELLIE ANN BOOMER

Original Issue Date

06/23/2015

Effective Date

08/03/2025

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

08/03/2025