EDWARD GROUSNICK Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000126

License Status

NOT RENEWED

Business

First Name

EDWARD

Last Name

GROUSNICK

Business Name

EDWARD GROUSNICK

Original Issue Date

12/23/2004

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

07/05/2007