SHAWN B KHADEMI DPM - Podiatrist License in Illinois | # 016005850

SHAWN B KHADEMI DPM

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005850

License Status

INACTIVE

Business

N

Title

DPM

First Name

SHAWN

Middle

B

Last Name

KHADEMI

Business Name

SHAWN B KHADEMI DPM

Original Issue Date

07/24/2019

Effective Date

11/08/2020

Expiration Date

01/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2020