WALEED ANJUM MIRZA DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001125

License Status

CANCELLED

Business

Title

DPM

First Name

WALEED

Middle

ANJUM

Last Name

MIRZA

Business Name

WALEED ANJUM MIRZA DPM

Original Issue Date

06/10/2021

Effective Date

06/15/2021

Expiration Date

06/15/2024

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/25/2021