DAVID PAUL GRUNDMAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003243

License Status

NOT RENEWED

Business

First Name

DAVID PAUL

Last Name

GRUNDMAN

Business Name

DAVID PAUL GRUNDMAN

Original Issue Date

06/02/1981

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

03/17/2009