SUCHITA HARISH SHAH - Dentist License in Indiana | # 019019970

SUCHITA HARISH SHAH

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019970

License Status

INACTIVE

Business

N

First Name

SUCHITA

Middle

HARISH

Last Name

SHAH

Business Name

SUCHITA HARISH SHAH

Original Issue Date

01/17/1986

Effective Date

01/17/1986

Expiration Date

09/30/2000

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005