JOHNNY LEE-TEH WU Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

JOHNNY

Middle

LEE-TEH

Last Name

Business Name

JOHNNY LEE-TEH WU

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

01/31/2007

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007