AREZOU AMIDI DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

Title

DPM

First Name

AREZOU

Last Name

AMIDI

Business Name

AREZOU AMIDI DPM

Original Issue Date

06/20/2014

Effective Date

01/07/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017