ISAC LIM DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****57

License Status

ACTIVE

Business

Title

DPM

First Name

ISAC

Last Name

LIM

Business Name

ISAC LIM DPM

Original Issue Date

04/19/2022

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025