SHANE SHAFI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

Title

DMD

First Name

SHANE

Last Name

SHAFI

Business Name

SHANE SHAFI DMD

Original Issue Date

06/26/2021

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60563

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024