JACOB DIAZ DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001250

License Status

ACTIVE

Business

Title

DPM

First Name

JACOB

Last Name

DIAZ

Prefix

Business Name

JACOB DIAZ DPM

Original Issue Date

05/30/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

05/08/2025