RADHIKA SHAH - Dentist License in New Jersey | # 31*****32

RADHIKA SHAH

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

N

First Name

RADHIKA

Last Name

SHAH

Business Name

RADHIKA SHAH

Original Issue Date

07/20/2022

Effective Date

07/20/2022

Expiration Date

09/30/2024

State

NJ

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/04/2025