Nishith Suresh Shah Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125041325

Status

Inactive (Cancelled)

First issued

July 1, 2000

Expired

June 30, 2003

License holder

Nishith Suresh Shah Dmd

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Internal Medicine

Current term began

07/01/2000

Other Illinois licenses under this name

• IL
  Nishith Suresh Shah Dmd

  License 018001042

  Temporary Dental Training License
  Expired

  Urbana, IL

  Expired Jun 30, 2001
• IL
  Nishith Suresh Shah Dmd

  License 019024552

  Licensed Dentist (Dental)
  Active

  Chandler, AZ

  Expires Sep 30, 2027
• IL
  Nishith Suresh Shah Dmd

  License 31*****26

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Chandler, AZ

  Expired Sep 30, 2015

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