NIKHAR D SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

NIKHAR

Middle

Last Name

SHAH

Business Name

NIKHAR D SHAH

Original Issue Date

11/16/2018

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

HANOVER PARK

State

Zip

60133

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2024