AMIT KUMAR MEHROTRA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052704

License Status

CANCELLED

Business

First Name

AMIT

Middle

KUMAR

Last Name

MEHROTRA

Suffix

Business Name

AMIT KUMAR MEHROTRA MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/09/2007