DHAVAL V SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

DHAVAL

Middle

Last Name

SHAH

Business Name

DHAVAL V SHAH

Original Issue Date

08/02/2012

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

LEMONT

State

Zip

60439

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2024