JERRY D BRANT - Podiatrist License in Illinois | # 016002430

JERRY D BRANT

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002430

License Status

INACTIVE

Business

N

First Name

JERRY D

Last Name

BRANT

Business Name

JERRY D BRANT

Original Issue Date

08/01/1962

Effective Date

08/01/1962

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006