GRANT EVAN WIIG - Podiatrist License in Michigan | # 31*****79

GRANT EVAN WIIG

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****79

License Status

CANCELLED

Business

N

First Name

GRANT EVAN

Last Name

WIIG

Business Name

GRANT EVAN WIIG

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

State

MI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

09/25/2006