ANKUR VINOD SHAH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

First Name

ANKUR

Middle

VINOD

Last Name

SHAH

Suffix

DMD

Business Name

ANKUR VINOD SHAH DMD

Original Issue Date

08/14/2009

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024