CHARLES STEVEN WITT Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002629

License Status

NOT RENEWED

Business

First Name

CHARLES STEVEN

Last Name

WITT

Business Name

CHARLES STEVEN WITT

Original Issue Date

07/28/1970

Effective Date

12/22/2010

Expiration Date

01/31/2013

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/20/2013