DAVID PAUL GRUNDMAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

DAVID PAUL

Last Name

GRUNDMAN

Business Name

DAVID PAUL GRUNDMAN

Original Issue Date

07/12/1984

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009