ISMAM ISLAM IDPR Registered License verification

Business Entity

ACTIVE

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000717

License Status

ACTIVE

Business

First Name

ISMAM

Last Name

ISLAM

Business Name

ISMAM ISLAM

Original Issue Date

03/16/2022

Effective Date

01/21/2025

Expiration Date

01/31/2027

City

COLUMBIA

State

Zip

65203

Ever Disciplined

LastModifiedDate

01/21/2025