USAMA KHAYYAL Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005688

License Status

INACTIVE

Business

First Name

USAMA

Last Name

KHAYYAL

Business Name

USAMA KHAYYAL

Original Issue Date

09/30/2015

Effective Date

12/26/2018

Expiration Date

01/31/2021

City

MILWAUKEE

State

Zip

53221

Ever Disciplined

LastModifiedDate

11/08/2020