GRACE VICTORIA DAVID Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000184

License Status

EXPIRED

Business

First Name

GRACE VICTORIA

Last Name

DAVID

Business Name

GRACE VICTORIA DAVID

Original Issue Date

07/21/1993

Effective Date

07/21/1993

Expiration Date

06/30/1994

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/25/2006