PALAK M SHAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

PALAK

Middle

Last Name

SHAH

Business Name

PALAK M SHAH

Original Issue Date

10/22/2019

Effective Date

10/22/2019

Expiration Date

01/31/2022

City

SCHAUMBURG

State

Zip

60194

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022