MAYRA MENDOZA Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000170

License Status

NOT RENEWED

Business

First Name

MAYRA

Last Name

MENDOZA

Business Name

MAYRA MENDOZA

Original Issue Date

06/15/2010

Effective Date

06/15/2010

Expiration Date

09/30/2011

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2011