KETAKI MILAN SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

KETAKI

Middle

MILAN

Last Name

SHAH

Business Name

KETAKI MILAN SHAH

Original Issue Date

07/18/2001

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024