ROY FREDERICK MARTIN Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000024

License Status

NOT RENEWED

Business

First Name

ROY

Middle

FREDERICK

Last Name

MARTIN

Business Name

ROY FREDERICK MARTIN

Original Issue Date

09/18/2001

Effective Date

08/18/2015

Expiration Date

09/30/2017

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/01/2017