SUHRUD JITENDRA SHAH DMD - Dentist License in Illinois | # 019034413

SUHRUD JITENDRA SHAH DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034413

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/15/2024