KALPANA T SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

First Name

KALPANA

Middle

Last Name

SHAH

Business Name

KALPANA T SHAH

Original Issue Date

01/28/2002

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2024