BRIAN S SHAH DDS, MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002351

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

SHAH

Suffix

DDS, MD

Business Name

BRIAN S SHAH DDS, MD

Original Issue Date

03/10/2010

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

SAINT PETERSBURG

State

Zip

33701

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

LastModifiedDate

05/03/2024