SAGAR VINOD SHAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

SAGAR

Middle

VINOD

Last Name

SHAH

Business Name

SAGAR VINOD SHAH

Original Issue Date

10/25/2013

Effective Date

10/25/2013

Expiration Date

09/30/2015

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016