Orthotist, Prosthetist, and Pedorthist
LICENSED PROSTHETIST
211000057
NOT RENEWED
N
MARK
H
WILSON
MARK H WILSON
12/07/2001
09/30/2005
09/30/2007
BALLWIN
MO
63021
MISSOURI
Y
03/18/2009
2007004585
Fine
03/17/2009
for failure to submit proof to meet minimum approved continuing education credit hours.