RACHIT SHAH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

ACTIVE

Business

Title

DMD

First Name

RACHIT

Last Name

SHAH

Business Name

RACHIT SHAH DMD

Original Issue Date

07/09/2015

Effective Date

07/10/2024

Expiration Date

09/30/2027

City

LINCOLN

State

Zip

62656

County

LOGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2024