SHIVANI SHAH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

Title

DMD

First Name

SHIVANI

Last Name

SHAH

Business Name

SHIVANI SHAH DMD

Original Issue Date

09/14/2020

Effective Date

12/20/2021

Expiration Date

09/30/2024

City

BARTLETT

State

Zip

60103

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025