SHIRALI DEEP SHAH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

Title

DMD

First Name

SHIRALI

Middle

DEEP

Last Name

SHAH

Business Name

SHIRALI DEEP SHAH DMD

Original Issue Date

07/11/2024

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

STREAMWOOD

State

Zip

60107

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2024