SHIRA ROSE LEVY DMD 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

SHIRA

Middle

ROSE

Last Name

LEVY

Suffix

DMD

Business Name

SHIRA ROSE LEVY DMD

Original Issue Date

08/27/2010

Effective Date

10/06/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/04/2025