CHARLES FREDERICK SCHULTZ Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000109

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

FREDERICK

Last Name

SCHULTZ

Business Name

CHARLES FREDERICK SCHULTZ

Original Issue Date

01/29/2002

Effective Date

09/18/2009

Expiration Date

09/30/2011

City

SUN PRAIRIE

State

Zip

53590

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/04/2011