ELISABETH L MEHTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039722

License Status

CANCELLED

Business

First Name

ELISABETH

Middle

Last Name

MEHTA

Suffix

Business Name

ELISABETH L MEHTA MD

Original Issue Date

06/28/1999

Effective Date

06/28/1999

Expiration Date

06/27/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006