SHIVANG MANOJ SHAH Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001013

License Status

EXPIRED

Business

First Name

SHIVANG

Middle

MANOJ

Last Name

SHAH

Business Name

SHIVANG MANOJ SHAH

Original Issue Date

06/19/2018

Effective Date

06/25/2018

Expiration Date

06/25/2021

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022