ANISAH N MIRZA Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000408

License Status

ACTIVE

Business

First Name

ANISAH

Middle

Last Name

MIRZA

Business Name

ANISAH N MIRZA

Original Issue Date

08/10/2020

Effective Date

07/09/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

07/09/2025