BREANNA A BALTRUSCH Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000354

License Status

ACTIVE

Business

First Name

BREANNA

Middle

Last Name

BALTRUSCH

Business Name

BREANNA A BALTRUSCH

Original Issue Date

03/20/2020

Effective Date

07/02/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

Ever Disciplined

LastModifiedDate

07/02/2025