NISHMA S SHAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

Title

DDS

First Name

NISHMA

Middle

Last Name

SHAH

Business Name

NISHMA S SHAH DDS

Original Issue Date

10/31/2013

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

VERNON HILLS

State

Zip

60061

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022