RAHUL MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104666

License Status

NOT RENEWED

Business

First Name

RAHUL

Last Name

MEHTA

Suffix

Business Name

RAHUL MEHTA MD

Original Issue Date

05/10/2001

Effective Date

05/10/2001

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006