JOHNNY LEE-TEH WU Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****02

License Status

CANCELLED

Business

First Name

JOHNNY

Middle

LEE-TEH

Last Name

Business Name

JOHNNY LEE-TEH WU

Original Issue Date

06/21/2004

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2008