CHIRAG PANKAJ MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127574

License Status

NOT RENEWED

Business

Title

First Name

CHIRAG

Middle

PANKAJ

Last Name

MEHTA

Business Name

CHIRAG PANKAJ MEHTA MD

Original Issue Date

04/14/2011

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014