BRANDON R GUMBINER DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000645

License Status

EXPIRED

Business

First Name

BRANDON

Middle

Last Name

GUMBINER

Suffix

DPM

Business Name

BRANDON R GUMBINER DPM

Original Issue Date

08/13/2007

Effective Date

08/13/2007

Expiration Date

08/13/2008

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/14/2011