JAY RASHMI MEHTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111199

License Status

INACTIVE

Business

First Name

JAY

Middle

RASHMI

Last Name

MEHTA

Suffix

Business Name

JAY RASHMI MEHTA MD

Original Issue Date

04/14/2004

Effective Date

04/07/2011

Expiration Date

07/31/2014

City

FREMONT

State

Zip

94536

County

PEORIA

Ever Disciplined

LastModifiedDate

04/08/2014