ANNU PRAVEEN MEHTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133533

License Status

ACTIVE

Business

Title

First Name

ANNU

Middle

PRAVEEN

Last Name

MEHTA

Business Name

ANNU PRAVEEN MEHTA MD

Original Issue Date

07/16/2013

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

06/21/2023