DENNIS WAYNE DILLARD Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

INACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000127

License Status

INACTIVE

Business

First Name

DENNIS

Middle

WAYNE

Last Name

DILLARD

Business Name

DENNIS WAYNE DILLARD

Original Issue Date

02/18/2005

Effective Date

01/01/2022

Expiration Date

09/30/2023

City

HANNA CITY

State

Zip

61536

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2023