KEVIN CHARLES MCDERMOTT Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000092

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

CHARLES

Last Name

MCDERMOTT

Business Name

KEVIN CHARLES MCDERMOTT

Original Issue Date

01/31/2002

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/05/2007