FADI I ISA DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016006137

License Status

ACTIVE

Business

Title

DPM

First Name

FADI

Middle

Last Name

ISA

Business Name

FADI I ISA DPM

Original Issue Date

09/03/2025

Effective Date

09/03/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2025