BISHOY ATEF BOTROS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****58

License Status

ACTIVE

Business

Title

DPM

First Name

BISHOY

Middle

ATEF

Last Name

BOTROS

Business Name

BISHOY ATEF BOTROS DPM

Original Issue Date

04/22/2022

Effective Date

11/12/2024

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