CARL MARK PATRNCHAK Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000078

License Status

NOT RENEWED

Business

First Name

CARL MARK

Last Name

PATRNCHAK

Business Name

CARL MARK PATRNCHAK

Original Issue Date

01/03/2002

Effective Date

10/01/2013

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/03/2015