RAVEENA SHAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

Title

DDS

First Name

RAVEENA

Last Name

SHAH

Business Name

RAVEENA SHAH DDS

Original Issue Date

06/19/2020

Effective Date

09/19/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60605

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025