REENA P SHAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

ACTIVE

Business

Title

DDS

First Name

REENA

Middle

Last Name

SHAH

Business Name

REENA P SHAH DDS

Original Issue Date

12/21/2011

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024