TUSHAR SURENDRA SHAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

TUSHAR

Middle

SURENDRA

Last Name

SHAH

Suffix

DDS

Business Name

TUSHAR SURENDRA SHAH DDS

Original Issue Date

01/29/2008

Effective Date

06/25/2018

Expiration Date

01/31/2022

City

AURORA

State

Zip

60502

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022