CHANDNI SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

ACTIVE

Business

First Name

CHANDNI

Last Name

SHAH

Business Name

CHANDNI SHAH

Original Issue Date

06/09/2021

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2024