SHUJA ABBAS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

Title

DPM

First Name

SHUJA

Last Name

ABBAS

Business Name

SHUJA ABBAS DPM

Original Issue Date

08/06/2024

Effective Date

12/19/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/19/2024