SHILPA I MEHTA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110523

License Status

ACTIVE

Business

First Name

SHILPA

Middle

Last Name

MEHTA

Business Name

SHILPA I MEHTA

Original Issue Date

12/02/2003

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

Ever Disciplined

LastModifiedDate

04/06/2023