PHILIP B GOSSETT Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

INACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000315

License Status

INACTIVE

Business

First Name

PHILIP

Middle

Last Name

GOSSETT

Business Name

PHILIP B GOSSETT

Original Issue Date

08/11/2016

Effective Date

08/28/2017

Expiration Date

09/30/2019

City

GRAND RAPIDS

State

Zip

49505

Ever Disciplined

LastModifiedDate

07/04/2019