KHANTIL R SHAH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031008

License Status

NOT RENEWED

Business

Title

DMD

First Name

KHANTIL

Middle

Last Name

SHAH

Business Name

KHANTIL R SHAH DMD

Original Issue Date

12/20/2016

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

05/09/2022