TRACY A MELTON Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

INACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000139

License Status

INACTIVE

Business

First Name

TRACY

Middle

Last Name

MELTON

Business Name

TRACY A MELTON

Original Issue Date

11/17/2006

Effective Date

07/31/2015

Expiration Date

09/30/2017

City

LE ROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/07/2017