JANNAH FAIZA BACCHUS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

Title

DPM

First Name

JANNAH

Middle

FAIZA

Last Name

BACCHUS

Business Name

JANNAH FAIZA BACCHUS DPM

Original Issue Date

10/08/2021

Effective Date

12/14/2024

Expiration Date

01/31/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025