DARRICK BRIAN CONLEY Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000257

License Status

NOT RENEWED

Business

First Name

DARRICK

Middle

BRIAN

Last Name

CONLEY

Business Name

DARRICK BRIAN CONLEY

Original Issue Date

11/23/2011

Effective Date

07/31/2015

Expiration Date

09/30/2017

City

SOUTH BEND

State

Zip

46635

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017