GRANT EVAN WIIG Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002911

License Status

INACTIVE

Business

First Name

GRANT EVAN

Last Name

WIIG

Business Name

GRANT EVAN WIIG

Original Issue Date

06/24/1976

Effective Date

06/24/1976

Expiration Date

01/31/1985

City

JACKSON

State

Zip

49201

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/25/2006