BINA S SHAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

BINA S

Last Name

SHAH

Business Name

BINA S SHAH

Original Issue Date

07/15/1987

Effective Date

07/15/1987

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005