KYLE LEE DUQUE Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000156

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

LEE

Last Name

DUQUE

Business Name

KYLE LEE DUQUE

Original Issue Date

02/18/2009

Effective Date

08/10/2009

Expiration Date

09/30/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/04/2011