SUCHITA HARISH SHAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

SUCHITA

Middle

HARISH

Last Name

SHAH

Business Name

SUCHITA HARISH SHAH

Original Issue Date

05/06/1986

Effective Date

05/06/1986

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005