DONALD ALLAN ROMAN Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

INACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000057

License Status

INACTIVE

Business

First Name

DONALD

Middle

ALLAN

Last Name

ROMAN

Business Name

DONALD ALLAN ROMAN

Original Issue Date

01/03/2002

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

07/09/2009