VICTOR KIMBALL GRANDT DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

VICTOR

Middle

KIMBALL

Last Name

GRANDT

Suffix

DPM

Business Name

VICTOR KIMBALL GRANDT DPM

Original Issue Date

08/12/2003

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2019