MADONNA RAOOF IBRAHIM Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

INACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000416

License Status

INACTIVE

Business

First Name

MADONNA

Middle

RAOOF

Last Name

IBRAHIM

Business Name

MADONNA RAOOF IBRAHIM

Original Issue Date

05/05/2021

Effective Date

09/06/2023

Expiration Date

09/30/2025

City

ELGIN

State

Zip

60120

Ever Disciplined

LastModifiedDate

03/23/2025