GRANT EVAN WIIG Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****79

License Status

CANCELLED

Business

First Name

GRANT EVAN

Last Name

WIIG

Business Name

GRANT EVAN WIIG

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

JACKSON

State

Zip

49202

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006