SHESHABEN SHAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

SHESHABEN

Last Name

SHAH

Business Name

SHESHABEN SHAH

Original Issue Date

01/21/2020

Effective Date

01/21/2020

Expiration Date

01/31/2022

City

MEMPHIS

State

Zip

38103

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022