KRISHNA A TIKIWALA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

KRISHNA

Middle

Last Name

TIKIWALA

Business Name

KRISHNA A TIKIWALA

Original Issue Date

08/15/2022

Effective Date

12/25/2024

Expiration Date

01/31/2027

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025