GORDON E GROUNDWATER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002463

License Status

NOT RENEWED

Business

First Name

GORDON E

Last Name

GROUNDWATER

Business Name

GORDON E GROUNDWATER

Original Issue Date

07/23/1964

Effective Date

07/23/1964

Expiration Date

07/01/1982

City

PINELLAS PARK

State

Zip

33565

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/25/2006