VISHAL SANJAY DESAI DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001004

License Status

EXPIRED

Business

Title

DPM

First Name

VISHAL

Middle

SANJAY

Last Name

DESAI

Business Name

VISHAL SANJAY DESAI DPM

Original Issue Date

06/12/2018

Effective Date

05/10/2018

Expiration Date

06/30/2021

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022