LEE SUSAN GRUBELICH Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003477

License Status

INACTIVE

Business

First Name

LEE SUSAN

Last Name

GRUBELICH

Business Name

LEE SUSAN GRUBELICH

Original Issue Date

02/01/1983

Effective Date

02/01/1983

Expiration Date

01/31/1985

City

BERLIN

State

Zip

06037

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/25/2006