BRIAN S KELSEY Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000219

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

KELSEY

Business Name

BRIAN S KELSEY

Original Issue Date

10/18/2004

Effective Date

09/15/2011

Expiration Date

09/30/2013

City

ELM GROVE

State

Zip

53122

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/12/2013