SHILPA I MEHTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043677

License Status

EXPIRED

Business

First Name

SHILPA

Middle

Last Name

MEHTA

Business Name

SHILPA I MEHTA

Original Issue Date

07/10/2001

Effective Date

07/10/2001

Expiration Date

07/09/2004

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006