SERENA MAYA SHAH DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

INACTIVE

Business

Title

DDS

First Name

SERENA

Middle

MAYA

Last Name

SHAH

Business Name

SERENA MAYA SHAH DDS

Original Issue Date

09/11/2017

Effective Date

09/13/2018

Expiration Date

12/31/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/11/2021