SHIVANG MANOJ SHAH Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005954

License Status

ACTIVE

Business

First Name

SHIVANG

Middle

MANOJ

Last Name

SHAH

Business Name

SHIVANG MANOJ SHAH

Original Issue Date

08/21/2021

Effective Date

01/18/2025

Expiration Date

01/31/2027

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

02/26/2025