RITA R SHAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

First Name

RITA

Middle

Last Name

SHAH

Suffix

DDS

Business Name

RITA R SHAH DDS

Original Issue Date

06/08/2004

Effective Date

07/17/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2024