SEAN T GRAMBART DPM - Podiatrist License in Illinois | # 016005204

SEAN T GRAMBART DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005204

License Status

NOT RENEWED

Business

N

First Name

SEAN

Middle

T

Last Name

GRAMBART

Suffix

DPM

Business Name

SEAN T GRAMBART DPM

Original Issue Date

07/14/2004

Effective Date

11/28/2018

Expiration Date

01/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

03/11/2021