ESRA ABU-ESBA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****02

License Status

ACTIVE

Business

First Name

ESRA

Last Name

ABU-ESBA

Business Name

ESRA ABU-ESBA

Original Issue Date

10/08/2024

Effective Date

01/05/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2025