RENA C MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124383

License Status

NOT RENEWED

Business

First Name

RENA

Middle

Last Name

MEHTA

Suffix

Business Name

RENA C MEHTA MD

Original Issue Date

09/16/2009

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017