BRIDGET BEYER Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000123

License Status

NOT RENEWED

Business

First Name

BRIDGET

Last Name

BEYER

Business Name

BRIDGET BEYER

Original Issue Date

08/20/2004

Effective Date

10/01/2013

Expiration Date

09/30/2015

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

11/03/2015