LARRY A DUDOVITZ Orthotist, Prosthetist, and Pedorthist License verification

LARRY A DUDOVITZ

Business Entity

NOT RENEWED CHAPERONE REQUIRED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000154

License Status

NOT RENEWED CHAPERONE REQUIRED

Business

First Name

LARRY

Middle

Last Name

DUDOVITZ

Business Name

LARRY A DUDOVITZ

Original Issue Date

01/21/2009

Effective Date

07/12/2011

Expiration Date

09/30/2013

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2016

Case Number

2015010967

Action

Revocation

Discipline Start Date

03/25/2016

Discipline Reason

for conviction of criminal sexual assault of a victim age 13-17, which is a criminal act that requires registration under the Sex Offender Registration Act.