CHARLES STEVEN WITT Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

CHARLES STEVEN

Last Name

WITT

Business Name

CHARLES STEVEN WITT

Original Issue Date

01/01/1998

Effective Date

12/22/2010

Expiration Date

01/31/2013

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013