POONAM UDAY SHAH DDS - Dentist License in Indiana | # 021002482

POONAM UDAY SHAH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002482

License Status

NOT RENEWED

Business

N

First Name

POONAM

Middle

UDAY

Last Name

SHAH

Suffix

DDS

Business Name

POONAM UDAY SHAH DDS

Original Issue Date

08/23/2012

Effective Date

08/23/2012

Expiration Date

09/30/2015

State

IN

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

N

LastModifiedDate

02/08/2016