KAVITA MIHIR SHAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

ACTIVE

Business

First Name

KAVITA

Middle

MIHIR

Last Name

SHAH

Suffix

DDS

Business Name

KAVITA MIHIR SHAH DDS

Original Issue Date

12/06/2005

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

HANOVER PARK

State

Zip

60133

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024