SCOTT T GRODMAN Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004310

License Status

INACTIVE

Business

First Name

SCOTT T

Last Name

GRODMAN

Business Name

SCOTT T GRODMAN

Original Issue Date

02/28/1989

Effective Date

02/28/1989

Expiration Date

01/31/2003

City

WEST BLOOMFIELD

State

Zip

48324

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006