SHANE SANJAY MEHTA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150253

License Status

ACTIVE

Business

Title

First Name

SHANE

Middle

SANJAY

Last Name

MEHTA

Business Name

SHANE SANJAY MEHTA DO

Original Issue Date

07/17/2019

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

06/15/2023