BROCK JASON FRIEND Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000305

License Status

ACTIVE

Business

First Name

BROCK

Middle

JASON

Last Name

FRIEND

Business Name

BROCK JASON FRIEND

Original Issue Date

12/09/2015

Effective Date

07/03/2025

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/03/2025