BEVERLY LA VERNE GRUNDSET Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003212

License Status

NOT RENEWED

Business

First Name

BEVERLY LA VERNE

Last Name

GRUNDSET

Business Name

BEVERLY LA VERNE GRUNDSET

Original Issue Date

10/01/1980

Effective Date

10/01/1980

Expiration Date

01/31/1991

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/25/2006