PAYAL A SHAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026277

License Status

ACTIVE

Business

First Name

PAYAL

Middle

Last Name

SHAH

Suffix

DDS

Business Name

PAYAL A SHAH DDS

Original Issue Date

10/02/2003

Effective Date

08/03/2024

Expiration Date

09/30/2027

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2024