KAUSHIK HARSHAD SHAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

KAUSHIK

Middle

HARSHAD

Last Name

SHAH

Business Name

KAUSHIK HARSHAD SHAH

Original Issue Date

10/06/2006

Effective Date

10/06/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009