LEE A WITTENBERG DPM - Podiatrist License in Illinois | # 016005162

LEE A WITTENBERG DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005162

License Status

NOT RENEWED

Business

N

First Name

LEE

Middle

A

Last Name

WITTENBERG

Suffix

DPM

Business Name

LEE A WITTENBERG DPM

Original Issue Date

11/17/2003

Effective Date

01/31/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007