RADHIKA SHAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

RADHIKA

Last Name

SHAH

Business Name

RADHIKA SHAH

Original Issue Date

11/15/2018

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

SCHAUMBURG

State

Zip

60193

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025