TRACY LYNN MOORE Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000178

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

LYNN

Last Name

MOORE

Business Name

TRACY LYNN MOORE

Original Issue Date

07/12/2002

Effective Date

09/25/2009

Expiration Date

09/30/2011

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

12/14/2011