TIMOTHY L SMITH Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000174

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

SMITH

Business Name

TIMOTHY L SMITH

Original Issue Date

09/30/2003

Effective Date

09/24/2009

Expiration Date

09/30/2011

City

WICKLIFFE

State

Zip

42087

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/04/2011