VISETH J LIEU DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****73

License Status

ACTIVE

Business

First Name

VISETH

Middle

Last Name

LIEU

Suffix

DPM

Business Name

VISETH J LIEU DPM

Original Issue Date

12/05/2003

Effective Date

11/15/2024

Expiration Date

01/31/2027

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025