IBRAHIM AWAD TAHA DPM - Podiatrist License in Illinois | # 016005184

IBRAHIM AWAD TAHA DPM

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005184

License Status

ACTIVE

Business

N

First Name

IBRAHIM

Middle

AWAD

Last Name

TAHA

Suffix

DPM

Business Name

IBRAHIM AWAD TAHA DPM

Original Issue Date

06/17/2004

Effective Date

01/16/2025

Expiration Date

01/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

02/26/2025