BEVERLY LA VERNE GRUNDSET - Podiatrist License in Illinois | # 016003212

BEVERLY LA VERNE GRUNDSET

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003212

License Status

NOT RENEWED

Business

N

First Name

BEVERLY LA VERNE

Last Name

GRUNDSET

Business Name

BEVERLY LA VERNE GRUNDSET

Original Issue Date

10/01/1980

Effective Date

10/01/1980

Expiration Date

01/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006