FARIBA AZIZINAMINI DPM - Podiatrist License in Illinois | # 31*****47

FARIBA AZIZINAMINI DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

N

First Name

FARIBA

Last Name

AZIZINAMINI

Suffix

DPM

Business Name

FARIBA AZIZINAMINI DPM

Original Issue Date

05/18/2000

Effective Date

05/18/2000

Expiration Date

01/31/2005

State

IL

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/09/2006