SAYED HAROON B SHAH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

First Name

SAYED

Middle

HAROON B

Last Name

SHAH

Suffix

DMD

Business Name

SAYED HAROON B SHAH DMD

Original Issue Date

09/17/2021

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024