FADI I ISA DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001174

License Status

CANCELLED

Business

Title

DPM

First Name

FADI

Middle

Last Name

ISA

Business Name

FADI I ISA DPM

Original Issue Date

07/09/2022

Effective Date

07/09/2022

Expiration Date

07/08/2025

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2025