SHEFALI BIPIN SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

SHEFALI

Middle

BIPIN

Last Name

SHAH

Business Name

SHEFALI BIPIN SHAH

Original Issue Date

08/16/2013

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024