LAWRENCE EDWARD BUCKMAN III Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000137

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

EDWARD

Last Name

BUCKMAN

Suffix

III

Business Name

LAWRENCE EDWARD BUCKMAN III

Original Issue Date

07/24/2006

Effective Date

09/07/2017

Expiration Date

09/30/2019

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/13/2020