BRIAN LANCE ROZANSKI Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000133

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

LANCE

Last Name

ROZANSKI

Business Name

BRIAN LANCE ROZANSKI

Original Issue Date

04/12/2006

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2009