POONAM UDAY SHAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029147

License Status

NOT RENEWED

Business

First Name

POONAM

Middle

UDAY

Last Name

SHAH

Suffix

DDS

Business Name

POONAM UDAY SHAH DDS

Original Issue Date

07/18/2012

Effective Date

07/18/2012

Expiration Date

09/30/2015

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016