NEAL P SHUKLA DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000761

License Status

EXPIRED

Business

Title

DPM

First Name

NEAL

Middle

Last Name

SHUKLA

Business Name

NEAL P SHUKLA DPM

Original Issue Date

05/14/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

10/07/2013