SPENCER NELSON WARE Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000203

License Status

NOT RENEWED

Business

First Name

SPENCER

Middle

NELSON

Last Name

WARE

Business Name

SPENCER NELSON WARE

Original Issue Date

01/12/2016

Effective Date

01/12/2016

Expiration Date

09/30/2017

City

HOMER

State

Zip

61849

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017