USAMA KHAYYAL Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021