PURNIMA S MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046243

License Status

NOT RENEWED

Business

First Name

PURNIMA S

Last Name

MEHTA

Suffix

Business Name

PURNIMA S MEHTA MD

Original Issue Date

08/17/1972

Effective Date

07/21/2008

Expiration Date

07/31/2011

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2011