LUCY PATEL SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

First Name

LUCY

Last Name

PATEL SHAH

Business Name

LUCY PATEL SHAH

Original Issue Date

07/19/2012

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

SOUTH BARRINGTON

State

Zip

60010

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2024