JANNAH FAIZA BACCHUS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005957

License Status

ACTIVE

Business

Title

DPM

First Name

JANNAH

Middle

FAIZA

Last Name

BACCHUS

Business Name

JANNAH FAIZA BACCHUS DPM

Original Issue Date

10/08/2021

Effective Date

12/14/2024

Expiration Date

01/31/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025