VICKI SHAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

Title

DDS

First Name

VICKI

Last Name

SHAH

Business Name

VICKI SHAH DDS

Original Issue Date

06/02/2020

Effective Date

09/29/2021

Expiration Date

09/30/2024

City

SOUTH BARRINGTON

State

Zip

60010

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025