DEVAL JASWANT SHAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

Title

DDS

First Name

DEVAL

Middle

JASWANT

Last Name

SHAH

Business Name

DEVAL JASWANT SHAH DDS

Original Issue Date

02/19/2003

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

LAGRANGE PARK

State

Zip

60526

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/08/2024