KEYUR ATUL SHAH DDS - Dentist License in Illinois | # 018001288

KEYUR ATUL SHAH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001288

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005