AMY P SHAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

Title

DDS

First Name

AMY

Middle

Last Name

SHAH

Business Name

AMY P SHAH DDS

Original Issue Date

06/10/2011

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024