PAYAL SHAH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

Title

DMD

First Name

PAYAL

Last Name

SHAH

Business Name

PAYAL SHAH DMD

Original Issue Date

07/09/2020

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024