DEVAL JASWANT SHAH DDS - Dentist License in Illinois | # 018001342

DEVAL JASWANT SHAH DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001342

License Status

EXPIRED

Business

N

Title

DDS

First Name

DEVAL

Middle

JASWANT

Last Name

SHAH

Business Name

DEVAL JASWANT SHAH DDS

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005