RITA R SHAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026413

License Status

ACTIVE

Business

First Name

RITA

Middle

Last Name

SHAH

Suffix

DDS

Business Name

RITA R SHAH DDS

Original Issue Date

06/08/2004

Effective Date

07/17/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/17/2024