PAUL DEAN BENNETT Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000078

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

DEAN

Last Name

BENNETT

Business Name

PAUL DEAN BENNETT

Original Issue Date

01/29/2002

Effective Date

01/29/2002

Expiration Date

09/30/2003

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/30/2006