TINA A SHROFF DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

TINA A

Last Name

SHROFF

Suffix

DDS

Business Name

TINA A SHROFF DDS

Original Issue Date

05/05/1997

Effective Date

06/28/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018