AMIT BAKULESH MEHTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045766

License Status

EXPIRED

Business

First Name

AMIT

Middle

BAKULESH

Last Name

MEHTA

Suffix

Business Name

AMIT BAKULESH MEHTA MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/03/2007