JACOB DIAZ DPM - Podiatrist License in Illinois | # 135001250

JACOB DIAZ DPM

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001250

License Status

ACTIVE

Business

N

Title

DPM

First Name

JACOB

Last Name

DIAZ

Prefix

MR

Business Name

JACOB DIAZ DPM

Original Issue Date

05/30/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

State

IL

Ever Disciplined

N

LastModifiedDate

05/08/2025