TUSHAR SURENDRA SHAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002089

License Status

ACTIVE

Business

First Name

TUSHAR

Middle

SURENDRA

Last Name

SHAH

Suffix

DDS

Business Name

TUSHAR SURENDRA SHAH DDS

Original Issue Date

03/09/2004

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/01/2024