PRIYA I SHAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

Title

DDS

First Name

PRIYA

Middle

Last Name

SHAH

Business Name

PRIYA I SHAH DDS

Original Issue Date

08/07/2024

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

FOX RIVER GROVE

State

Zip

60021

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024