DEEP N SHAH Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

DEEP

Middle

Last Name

SHAH

Business Name

DEEP N SHAH

Original Issue Date

05/16/2022

Effective Date

11/15/2024

Expiration Date

01/31/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025