BARRY A ULLMAN Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000063

License Status

NOT RENEWED

Business

First Name

BARRY

Middle

Last Name

ULLMAN

Business Name

BARRY A ULLMAN

Original Issue Date

01/14/2002

Effective Date

01/14/2002

Expiration Date

09/30/2005

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

05/30/2006