ANKITA SHAH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

ANKITA

Last Name

SHAH

Suffix

DMD

Business Name

ANKITA SHAH DMD

Original Issue Date

04/12/2021

Effective Date

11/24/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025