FARAZ IMTIAZ HAQUE Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000880

License Status

CANCELLED

Business

First Name

FARAZ

Middle

IMTIAZ

Last Name

HAQUE

Business Name

FARAZ IMTIAZ HAQUE

Original Issue Date

06/17/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2016