AHMED FAYEZ SHOUKRY DPM - Podiatrist License in Illinois | # 135000814

AHMED FAYEZ SHOUKRY DPM

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000814

License Status

CANCELLED

Business

N

Title

DPM

First Name

AHMED

Middle

FAYEZ

Last Name

SHOUKRY

Business Name

AHMED FAYEZ SHOUKRY DPM

Original Issue Date

06/24/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

State

IL

Ever Disciplined

N

LastModifiedDate

06/24/2013