ANKITA SHAH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

ANKITA

Last Name

SHAH

Suffix

DMD

Business Name

ANKITA SHAH DMD

Original Issue Date

12/06/2007

Effective Date

07/29/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018