ELISA M DE JONG Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000281

License Status

NOT RENEWED

Business

First Name

ELISA

Middle

Last Name

DE JONG

Business Name

ELISA M DE JONG

Original Issue Date

12/27/2010

Effective Date

09/08/2011

Expiration Date

09/30/2013

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/12/2013