RONALD GARY LANQUIST Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000038

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

GARY

Last Name

LANQUIST

Business Name

RONALD GARY LANQUIST

Original Issue Date

10/30/2001

Effective Date

08/26/2011

Expiration Date

09/30/2013

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/12/2013