SHITAL T MEHTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038666

License Status

EXPIRED

Business

First Name

SHITAL

Middle

Last Name

MEHTA

Business Name

SHITAL T MEHTA

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

11/30/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006