DEEP N SHAH Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005976

License Status

ACTIVE

Business

First Name

DEEP

Middle

Last Name

SHAH

Business Name

DEEP N SHAH

Original Issue Date

05/16/2022

Effective Date

11/15/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

03/23/2025