SUHRUD JITENDRA SHAH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034413

License Status

ACTIVE

Business

Title

DMD

First Name

SUHRUD

Middle

JITENDRA

Last Name

SHAH

Business Name

SUHRUD JITENDRA SHAH DMD

Original Issue Date

06/22/2023

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

09/15/2024