RICHARD PHU BUI DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000585

License Status

EXPIRED

Business

First Name

RICHARD

Middle

PHU

Last Name

BUI

Suffix

DPM

Business Name

RICHARD PHU BUI DPM

Original Issue Date

07/06/2005

Effective Date

07/06/2005

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006