SAMANTHA A SCHWALB Orthotist, Prosthetist, and Pedorthist License verification

SAMANTHA A SCHWALB

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000141

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

SCHWALB

Business Name

SAMANTHA A SCHWALB

Original Issue Date

01/26/2007

Effective Date

09/25/2017

Expiration Date

09/30/2019

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/13/2020

Case Number

2012007637

Action

Fine

Discipline Start Date

04/12/2013

Discipline Reason

due to misrepresenting information contained licensure renewal application submitted to DPR, related to noncompliance with minimum continuing education requirements necessary for licensure renewal.