HETAL R MEHTA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009871

License Status

NOT RENEWED

Business

First Name

HETAL

Middle

Last Name

MEHTA

Business Name

HETAL R MEHTA

Original Issue Date

07/24/2000

Effective Date

09/15/2009

Expiration Date

09/30/2012

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012