WILLIAM RICHARD MARTENS Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000077

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

RICHARD

Last Name

MARTENS

Business Name

WILLIAM RICHARD MARTENS

Original Issue Date

01/29/2002

Effective Date

07/16/2013

Expiration Date

09/30/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/03/2015