CYNTHIA LEMBCKE GRUNDY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005236

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

LEMBCKE

Last Name

GRUNDY

Suffix

DPM

Business Name

CYNTHIA LEMBCKE GRUNDY DPM

Original Issue Date

05/23/2005

Effective Date

01/13/2015

Expiration Date

01/31/2017

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

03/27/2017