PRADEEP K MEHTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050314

License Status

ACTIVE

Business

First Name

PRADEEP K

Last Name

MEHTA

Suffix

Business Name

PRADEEP K MEHTA MD

Original Issue Date

11/26/1974

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/06/2023