IBRAHIM AWAD TAHA DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005184

License Status

ACTIVE

Business

First Name

IBRAHIM

Middle

AWAD

Last Name

TAHA

Suffix

DPM

Business Name

IBRAHIM AWAD TAHA DPM

Original Issue Date

06/17/2004

Effective Date

01/16/2025

Expiration Date

01/31/2027

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

02/26/2025