AMANDA WILLRICH HUDSON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

WILLRICH

Last Name

HUDSON

Suffix

DPM

Business Name

AMANDA WILLRICH HUDSON DPM

Original Issue Date

09/04/2003

Effective Date

09/04/2003

Expiration Date

01/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006