AMI A SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

AMI

Middle

Last Name

SHAH

Business Name

AMI A SHAH

Original Issue Date

10/04/2006

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

PLAINFIED

State

Zip

60544

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024