LEE A WITTENBERG DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

LEE

Middle

Last Name

WITTENBERG

Suffix

DPM

Business Name

LEE A WITTENBERG DPM

Original Issue Date

03/01/2004

Effective Date

03/01/2004

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2007