LEE A WITTENBERG DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005162

License Status

NOT RENEWED

Business

First Name

LEE

Middle

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

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007