GAUTAM RAJU MEHTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140001

License Status

ACTIVE

Business

Title

First Name

GAUTAM

Middle

RAJU

Last Name

MEHTA

Business Name

GAUTAM RAJU MEHTA MD

Original Issue Date

03/11/2016

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

Ever Disciplined

LastModifiedDate

05/16/2023