AUDREY JUSTINE GROVER Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000420

License Status

ACTIVE

Business

First Name

AUDREY

Middle

JUSTINE

Last Name

GROVER

Business Name

AUDREY JUSTINE GROVER

Original Issue Date

08/20/2021

Effective Date

08/29/2025

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

08/29/2025