GAREN AZIZI DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001030

License Status

CANCELLED

Business

Title

DPM

First Name

GAREN

Last Name

AZIZI

Business Name

GAREN AZIZI DPM

Original Issue Date

05/30/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2023