BINA S SHAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

BINA S

Last Name

SHAH

Business Name

BINA S SHAH

Original Issue Date

07/06/1987

Effective Date

06/08/2016

Expiration Date

09/30/2018

City

MIDDLEBURG HEIGHTS

State

Zip

44130

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018