BRIAN S SHAH DDS, MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000780

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

SHAH

Suffix

DDS, MD

Business Name

BRIAN S SHAH DDS, MD

Original Issue Date

04/06/2010

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

SAINT PETERSBURG

State

Zip

33701

Ever Disciplined

LastModifiedDate

02/04/2025