KALPESH K SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

ACTIVE

Business

First Name

KALPESH

Middle

Last Name

SHAH

Business Name

KALPESH K SHAH

Original Issue Date

11/02/1998

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024