AHMED FAYEZ SHOUKRY DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005637

License Status

INACTIVE

Business

Title

DPM

First Name

AHMED

Middle

FAYEZ

Last Name

SHOUKRY

Business Name

AHMED FAYEZ SHOUKRY DPM

Original Issue Date

12/30/2014

Effective Date

01/11/2017

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2018