MONIL P SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

ACTIVE

Business

First Name

MONIL

Middle

Last Name

SHAH

Business Name

MONIL P SHAH

Original Issue Date

12/19/2012

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

CICERO

State

Zip

60804

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2024