MONIL P 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

MONIL

Middle

Last Name

SHAH

Business Name

MONIL P SHAH

Original Issue Date

03/06/2019

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

RIVERDALE

State

Zip

60827

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2024