IBRAHIM AWAD TAHA DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

IBRAHIM

Middle

AWAD

Last Name

TAHA

Suffix

DPM

Business Name

IBRAHIM AWAD TAHA DPM

Original Issue Date

06/17/2004

Effective Date

01/16/2025

Expiration Date

01/31/2027

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025