MANISH R PANDYA DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001025

License Status

CANCELLED

Business

Title

DPM

First Name

MANISH

Middle

Last Name

PANDYA

Business Name

MANISH R PANDYA DPM

Original Issue Date

07/09/2018

Effective Date

07/09/2018

Expiration Date

07/08/2021

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

06/26/2018