VICTOR KIMBALL GRANDT DPM - Podiatrist License in Illinois | # 016005143

VICTOR KIMBALL GRANDT DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005143

License Status

NOT RENEWED

Business

N

First Name

VICTOR

Middle

KIMBALL

Last Name

GRANDT

Suffix

DPM

Business Name

VICTOR KIMBALL GRANDT DPM

Original Issue Date

07/23/2003

Effective Date

02/01/2007

Expiration Date

01/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

08/27/2019