PALAK M SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

PALAK

Middle

Last Name

SHAH

Business Name

PALAK M SHAH

Original Issue Date

04/18/2024

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

SCHAUMBURG

State

Zip

60194

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/10/2024