MICHAEL DEREK SMITH Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000167

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DEREK

Last Name

SMITH

Business Name

MICHAEL DEREK SMITH

Original Issue Date

03/19/2010

Effective Date

03/19/2010

Expiration Date

09/30/2011

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2011