D DOUGLAS CANTRALL Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000119

License Status

NOT RENEWED

Business

First Name

Middle

DOUGLAS

Last Name

CANTRALL

Business Name

D DOUGLAS CANTRALL

Original Issue Date

06/19/2003

Effective Date

12/31/2021

Expiration Date

09/30/2023

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/02/2024