SYEDA FIZIA ROSHAN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

SYEDA

Middle

FIZIA

Last Name

ROSHAN

Suffix

DPM

Business Name

SYEDA FIZIA ROSHAN DPM

Original Issue Date

10/15/2014

Effective Date

03/01/2021

Expiration Date

01/31/2023

City

FREEPORT

State

Zip

61032

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023