SHAWN B KHADEMI DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005850

License Status

INACTIVE

Business

Title

DPM

First Name

SHAWN

Middle

Last Name

KHADEMI

Business Name

SHAWN B KHADEMI DPM

Original Issue Date

07/24/2019

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2020