JEFFREY V DAVIS Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000184

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

DAVIS

Business Name

JEFFREY V DAVIS

Original Issue Date

06/22/2012

Effective Date

09/18/2013

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/03/2015