DHAVAL RAMESHKUMAR SHAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

Title

DDS

First Name

DHAVAL

Middle

RAMESHKUMAR

Last Name

SHAH

Business Name

DHAVAL RAMESHKUMAR SHAH DDS

Original Issue Date

07/11/2012

Effective Date

07/11/2012

Expiration Date

09/30/2015

City

SOUDERTON

State

Zip

18964

County

PENNSYLVANIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016