SANDEEP DHANESHKUMAR MEHTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042147

License Status

EXPIRED

Business

First Name

SANDEEP

Middle

DHANESHKUMAR

Last Name

MEHTA

Suffix

Business Name

SANDEEP DHANESHKUMAR MEHTA MD

Original Issue Date

08/16/2000

Effective Date

08/16/2000

Expiration Date

02/17/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006