ALAN THEODORE SHIH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

THEODORE

Last Name

SHIH

Suffix

DPM

Business Name

ALAN THEODORE SHIH DPM

Original Issue Date

08/18/2003

Effective Date

08/18/2003

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007