THOMAS ANTHONY BUIVIDAS Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002967

License Status

ACTIVE

Business

First Name

THOMAS ANTHONY

Last Name

BUIVIDAS

Business Name

THOMAS ANTHONY BUIVIDAS

Original Issue Date

08/03/1977

Effective Date

02/25/2025

Expiration Date

01/31/2027

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025