GORDON JAY BRONSTON Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002296

License Status

INACTIVE

Business

First Name

GORDON JAY

Last Name

BRONSTON

Business Name

GORDON JAY BRONSTON

Original Issue Date

02/01/1957

Effective Date

02/01/1957

Expiration Date

01/31/1985

City

DETROIT

State

Zip

48221

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/25/2006