MONIL P SHAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

MONIL

Middle

Last Name

SHAH

Business Name

MONIL P SHAH

Original Issue Date

07/13/2007

Effective Date

07/13/2007

Expiration Date

09/30/2009

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009