SHASHIKANT SHAH DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

INACTIVE

Business

First Name

SHASHIKANT

Last Name

SHAH

Suffix

DDS

Business Name

SHASHIKANT SHAH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

ORANGE CITY

State

Zip

32763

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005