RACHIT D SHAH DPM - Podiatrist License in Illinois | # 135001121

RACHIT D SHAH DPM

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001121

License Status

CANCELLED

Business

N

Title

DPM

First Name

RACHIT

Middle

D

Last Name

SHAH

Prefix

MR

Business Name

RACHIT D SHAH DPM

Original Issue Date

06/03/2021

Effective Date

06/23/2021

Expiration Date

06/22/2024

State

IL

Ever Disciplined

N

LastModifiedDate

06/03/2021