BEVERLY LA VERNE GRUNDSET Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

BEVERLY LA VERNE

Last Name

GRUNDSET

Business Name

BEVERLY LA VERNE GRUNDSET

Original Issue Date

12/22/1981

Effective Date

12/22/1981

Expiration Date

01/31/1991

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006