SAMUEL D SANTA RITA Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000316

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

SANTA RITA

Business Name

SAMUEL D SANTA RITA

Original Issue Date

08/15/2016

Effective Date

08/15/2017

Expiration Date

09/30/2019

City

NOBLESVILLE

State

Zip

46060

County

INDIANA

Ever Disciplined

LastModifiedDate

01/13/2020