JASON WAYNE BRUNING Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000208

License Status

ACTIVE

Business

First Name

JASON

Middle

WAYNE

Last Name

BRUNING

Business Name

JASON WAYNE BRUNING

Original Issue Date

07/28/2017

Effective Date

08/13/2025

Expiration Date

09/30/2027

City

ATHENS

State

Zip

62613

County

MENARD

Ever Disciplined

LastModifiedDate

08/13/2025