SHIVANI SHAH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032899

License Status

NOT RENEWED

Business

Title

DMD

First Name

SHIVANI

Last Name

SHAH

Business Name

SHIVANI SHAH DMD

Original Issue Date

09/09/2020

Effective Date

12/20/2021

Expiration Date

09/30/2024

City

BARTLETT

State

Zip

60103

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/04/2025