SHIVANG MANOJ SHAH Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****48

License Status

ACTIVE

Business

First Name

SHIVANG

Middle

MANOJ

Last Name

SHAH

Business Name

SHIVANG MANOJ SHAH

Original Issue Date

11/08/2021

Effective Date

01/18/2025

Expiration Date

01/31/2027

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025