SONAL MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134089

License Status

NOT RENEWED

Business

Title

First Name

SONAL

Last Name

MEHTA

Business Name

SONAL MEHTA MD

Original Issue Date

10/18/2013

Effective Date

10/18/2013

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014