SEAN T GRAMBART DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****08

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021