JACOB RYAN MATTINGLY Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000456

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

RYAN

Last Name

MATTINGLY

Business Name

JACOB RYAN MATTINGLY

Original Issue Date

04/16/2024

Effective Date

04/16/2024

Expiration Date

09/30/2025

City

SAINT LOUIS

State

Zip

63129

Ever Disciplined

LastModifiedDate

12/30/2025