DIPAK SHANTILAL SHAH DDS - Dentist License in Illinois | # 019015412

DIPAK SHANTILAL SHAH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015412

License Status

NOT RENEWED

Business

N

First Name

DIPAK SHANTILAL

Last Name

SHAH

Suffix

DDS

Business Name

DIPAK SHANTILAL SHAH DDS

Original Issue Date

03/15/1976

Effective Date

06/29/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022