BANSARI SHAH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003210

License Status

ACTIVE

Business

First Name

BANSARI

Last Name

SHAH

Business Name

BANSARI SHAH

Original Issue Date

08/19/2022

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

LOUISVILLE

State

Zip

40241

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

08/30/2024