FADI I ISA DPM - Podiatrist License in Illinois | # 135001174

FADI I ISA DPM

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001174

License Status

CANCELLED

Business

N

Title

DPM

First Name

FADI

Middle

I

Last Name

ISA

Business Name

FADI I ISA DPM

Original Issue Date

07/09/2022

Effective Date

07/09/2022

Expiration Date

07/08/2025

State

IL

Ever Disciplined

N

LastModifiedDate

09/03/2025