KEYUR ATUL SHAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

KEYUR

Middle

ATUL

Last Name

SHAH

Suffix

DDS

Business Name

KEYUR ATUL SHAH DDS

Original Issue Date

07/12/2002

Effective Date

07/12/2002

Expiration Date

09/30/2006

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006