ADAM LEE WAUGH Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000354

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

LEE

Last Name

WAUGH

Business Name

ADAM LEE WAUGH

Original Issue Date

03/20/2017

Effective Date

03/20/2017

Expiration Date

09/30/2017

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017