SEAN T GRAMBART DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005204

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

Last Name

GRAMBART

Suffix

DPM

Business Name

SEAN T GRAMBART DPM

Original Issue Date

07/14/2004

Effective Date

11/28/2018

Expiration Date

01/31/2021

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/11/2021