SANJAY MEHTA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

SANJAY

Last Name

MEHTA

Suffix

DDS

Business Name

SANJAY MEHTA DDS

Original Issue Date

12/12/1997

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009