JOSEPH DAVID KICZEK Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000219

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

DAVID

Last Name

KICZEK

Business Name

JOSEPH DAVID KICZEK

Original Issue Date

09/25/2007

Effective Date

09/25/2007

Expiration Date

09/30/2009

City

AVON LAKE

State

Zip

44012

Ever Disciplined

LastModifiedDate

11/04/2009