EDDY LEOPOLDO FUENTES Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

INACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000069

License Status

INACTIVE

Business

First Name

EDDY

Middle

LEOPOLDO

Last Name

FUENTES

Business Name

EDDY LEOPOLDO FUENTES

Original Issue Date

12/21/2001

Effective Date

12/21/2001

Expiration Date

09/30/2003

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/30/2006