MONIL P SHAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

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

08/30/2018

Expiration Date

01/31/2022

City

CAROL STREAM

State

Zip

60188

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022