RACHIT D SHAH DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

Title

DPM

First Name

RACHIT

Middle

Last Name

SHAH

Prefix

Business Name

RACHIT D SHAH DPM

Original Issue Date

11/02/2023

Effective Date

12/19/2024

Expiration Date

01/31/2027

City

BLOOMINGDALE

State

Zip

60108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/19/2024