JUSTIN MILAD GANDOMANI DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000990

License Status

EXPIRED

Business

Title

DPM

First Name

JUSTIN

Middle

MILAD

Last Name

GANDOMANI

Business Name

JUSTIN MILAD GANDOMANI DPM

Original Issue Date

03/27/2018

Effective Date

03/27/2018

Expiration Date

03/27/2021

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

07/20/2021