BIREN S SHAH Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

First Name

BIREN

Middle

Last Name

SHAH

Business Name

BIREN S SHAH

Original Issue Date

01/25/2016

Effective Date

11/05/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025