NIKITA GRAMA DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001084

License Status

CANCELLED

Business

Title

DPM

First Name

NIKITA

Last Name

GRAMA

Business Name

NIKITA GRAMA DPM

Original Issue Date

06/03/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

MAYWOOD

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2020