SHITAL T MEHTA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108277

License Status

ACTIVE

Business

First Name

SHITAL

Middle

Last Name

MEHTA

Business Name

SHITAL T MEHTA

Original Issue Date

12/09/2002

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/03/2023