SHILPA P MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069634

License Status

NOT RENEWED

Business

First Name

SHILPA P

Last Name

MEHTA

Suffix

Business Name

SHILPA P MEHTA MD

Original Issue Date

10/15/1984

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021