DARYL G BARTH Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

INACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000025

License Status

INACTIVE

Business

First Name

DARYL

Middle

Last Name

BARTH

Business Name

DARYL G BARTH

Original Issue Date

09/20/2001

Effective Date

08/25/2011

Expiration Date

09/30/2013

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/03/2013