MICHAEL R GROSSMAN - Podiatrist License in Pennsylvania | # 016004423

MICHAEL R GROSSMAN

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004423

License Status

NOT RENEWED

Business

N

First Name

MICHAEL R

Last Name

GROSSMAN

Business Name

MICHAEL R GROSSMAN

Original Issue Date

06/01/1990

Effective Date

06/01/1990

Expiration Date

01/31/1991

State

PA

Ever Disciplined

N

LastModifiedDate

09/25/2006