IRAKLY PATARAIA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016006052

License Status

ACTIVE

Business

First Name

IRAKLY

Last Name

PATARAIA

Business Name

IRAKLY PATARAIA

Original Issue Date

04/18/2024

Effective Date

02/12/2025

Expiration Date

01/31/2027

City

NAPLES

State

Zip

34117

Ever Disciplined

LastModifiedDate

08/17/2025