ASHU P MEHTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101751

License Status

NOT RENEWED

Business

First Name

ASHU

Middle

Last Name

MEHTA

Business Name

ASHU P MEHTA

Original Issue Date

12/28/1999

Effective Date

12/28/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006