JUSTIN MILAD GANDOMANI DPM - Podiatrist License in Illinois | # 135000990

JUSTIN MILAD GANDOMANI DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000990

License Status

EXPIRED

Business

N

Title

DPM

First Name

JUSTIN

Middle

MILAD

Last Name

GANDOMANI

Business Name

JUSTIN MILAD GANDOMANI DPM

Original Issue Date

03/27/2018

Effective Date

03/27/2018

Expiration Date

03/27/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021