RICKY WAYNE ALLEN Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000032

License Status

ACTIVE

Business

First Name

RICKY

Middle

WAYNE

Last Name

ALLEN

Business Name

RICKY WAYNE ALLEN

Original Issue Date

10/24/2001

Effective Date

07/31/2025

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/31/2025