MAX M MEHTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032631

License Status

EXPIRED

Business

First Name

MAX

Middle

Last Name

MEHTA

Business Name

MAX M MEHTA

Original Issue Date

05/23/1995

Effective Date

05/23/1995

Expiration Date

06/30/1998

City

PEORIA

State

Zip

60631

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006