PURAV SHAH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

Title

DMD

First Name

PURAV

Last Name

SHAH

Business Name

PURAV SHAH DMD

Original Issue Date

04/21/2025

Effective Date

04/21/2025

Expiration Date

09/30/2027

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2025