SIDNEY W SPROUSE Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000076

License Status

NOT RENEWED

Business

First Name

SIDNEY

Middle

Last Name

SPROUSE

Business Name

SIDNEY W SPROUSE

Original Issue Date

01/04/2002

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

LOUISVILLE

State

Zip

40241

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/12/2007