RENA C MEHTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052183

License Status

CANCELLED

Business

First Name

RENA

Middle

Last Name

MEHTA

Suffix

Business Name

RENA C MEHTA MD

Original Issue Date

09/14/2006

Effective Date

09/14/2006

Expiration Date

09/13/2009

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006