CHARLES A GRANTHAM - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 211000168

CHARLES A GRANTHAM

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000168

License Status

NOT RENEWED

Business

N

First Name

CHARLES

Middle

A

Last Name

GRANTHAM

Business Name

CHARLES A GRANTHAM

Original Issue Date

02/28/2003

Effective Date

09/30/2005

Expiration Date

09/30/2007

State

IL

Ever Disciplined

N

LastModifiedDate

07/05/2007