ANSHUL MIKIN SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

First Name

ANSHUL MIKIN

Last Name

SHAH

Business Name

ANSHUL MIKIN SHAH

Original Issue Date

09/22/2020

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

WHEATON

State

Zip

60189

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024