FAWAD J SHAH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027741

License Status

NOT RENEWED

Business

Title

DMD

First Name

FAWAD

Middle

Last Name

SHAH

Business Name

FAWAD J SHAH DMD

Original Issue Date

07/08/2008

Effective Date

09/30/2015

Expiration Date

09/30/2018

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018