CHARLES A GRANTHAM Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000168

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

GRANTHAM

Business Name

CHARLES A GRANTHAM

Original Issue Date

02/28/2003

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

07/05/2007