BIRAJ MUKESH SHAH MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

Title

First Name

BIRAJ

Middle

MUKESH

Last Name

SHAH

Business Name

BIRAJ MUKESH SHAH MD

Original Issue Date

09/20/2018

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2024