DIVYESH G MEHTA MD - Medical Doctor License in Arizona | # 036049588

DIVYESH G MEHTA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049588

License Status

INACTIVE

Business

N

First Name

DIVYESH

Middle

G

Last Name

MEHTA

Suffix

MD

Business Name

DIVYESH G MEHTA MD

Original Issue Date

08/28/1974

Effective Date

04/13/2011

Expiration Date

07/31/2014

State

AZ

Ever Disciplined

N

LastModifiedDate

04/08/2014