NISHITH SURESH SHAH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001042

License Status

NOT RENEWED

Business

First Name

NISHITH SURESH

Last Name

SHAH

Suffix

DMD

Business Name

NISHITH SURESH SHAH DMD

Original Issue Date

07/08/1997

Effective Date

07/08/1997

Expiration Date

06/30/2001

City

URBANA

State

Zip

61810

County

VERMILION

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005