ELLEN JEAN GATES Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000157

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

JEAN

Last Name

GATES

Business Name

ELLEN JEAN GATES

Original Issue Date

03/11/2009

Effective Date

09/17/2021

Expiration Date

09/30/2023

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/02/2024