AHSANA ANJUM ISLAM DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001193

License Status

ACTIVE

Business

Title

DPM

First Name

AHSANA

Middle

ANJUM

Last Name

ISLAM

Business Name

AHSANA ANJUM ISLAM DPM

Original Issue Date

06/21/2023

Effective Date

06/25/2023

Expiration Date

06/24/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/21/2023