SUCHITA HARISH SHAH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019970

License Status

INACTIVE

Business

First Name

SUCHITA

Middle

HARISH

Last Name

SHAH

Business Name

SUCHITA HARISH SHAH

Original Issue Date

01/17/1986

Effective Date

01/17/1986

Expiration Date

09/30/2000

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005