DHARA SHAH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034239

License Status

ACTIVE

Business

Title

DMD

First Name

DHARA

Last Name

SHAH

Business Name

DHARA SHAH DMD

Original Issue Date

05/23/2023

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

Ever Disciplined

LastModifiedDate

09/21/2024