DIPAK SHANTILAL SHAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015412

License Status

NOT RENEWED

Business

First Name

DIPAK SHANTILAL

Last Name

SHAH

Suffix

DDS

Business Name

DIPAK SHANTILAL SHAH DDS

Original Issue Date

03/15/1976

Effective Date

06/29/2018

Expiration Date

01/31/2022

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2022