SEJAL D SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

First Name

SEJAL

Middle

Last Name

SHAH

Business Name

SEJAL D SHAH

Original Issue Date

10/14/1998

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024