Form Orthotics & Prosthetics, PLLC
ActiveDoing business as Form Orthotics & Prosthetics · Illinois license 248007770
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 248007770
- Status
- Active
- First issued
- April 17, 2026
- Expires
- January 1, 2028
- Entity type
- Business
Classifications
- Professional Limited Liability Company Business & Consumer Licenses
More from the license record
- Current term began
- 04/17/2026
Contact
Rockford, IL 61108
Winnebago County