REENA P SHAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

REENA

Middle

Last Name

SHAH

Suffix

DDS

Business Name

REENA P SHAH DDS

Original Issue Date

10/30/2000

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/06/2024