AHMED FAYEZ SHOUKRY DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000814

License Status

CANCELLED

Business

Title

DPM

First Name

AHMED

Middle

FAYEZ

Last Name

SHOUKRY

Business Name

AHMED FAYEZ SHOUKRY DPM

Original Issue Date

06/24/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/24/2013