NEELABEN D SHAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

NEELABEN D

Last Name

SHAH

Business Name

NEELABEN D SHAH

Original Issue Date

11/07/1984

Effective Date

11/07/1984

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005