ANAS MUSA ATALLAH Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000992

License Status

EXPIRED

Business

First Name

ANAS

Middle

MUSA

Last Name

ATALLAH

Business Name

ANAS MUSA ATALLAH

Original Issue Date

05/30/2018

Effective Date

06/25/2018

Expiration Date

06/25/2021

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022