NIKETA V SHAH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

Title

DMD

First Name

NIKETA

Middle

Last Name

SHAH

Business Name

NIKETA V SHAH DMD

Original Issue Date

08/07/2015

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60467

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/03/2024