RACHIT D SHAH DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001121

License Status

CANCELLED

Business

Title

DPM

First Name

RACHIT

Middle

Last Name

SHAH

Prefix

Business Name

RACHIT D SHAH DPM

Original Issue Date

06/03/2021

Effective Date

06/23/2021

Expiration Date

06/22/2024

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

06/03/2021