HIREN JITENDRA MEHTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051664

License Status

CANCELLED

Business

Title

First Name

HIREN

Middle

JITENDRA

Last Name

MEHTA

Business Name

HIREN JITENDRA MEHTA MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/13/2009