WALEED ANJUM MIRZA DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

Title

DPM

First Name

WALEED

Middle

ANJUM

Last Name

MIRZA

Business Name

WALEED ANJUM MIRZA DPM

Original Issue Date

05/03/2024

Effective Date

11/30/2024

Expiration Date

01/31/2027

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2024