KEYUR ATUL SHAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001288

License Status

NOT RENEWED

Business

First Name

KEYUR

Middle

ATUL

Last Name

SHAH

Suffix

DDS

Business Name

KEYUR ATUL SHAH DDS

Original Issue Date

07/05/2001

Effective Date

07/05/2001

Expiration Date

06/30/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005