PARTH HEMANTKUMAR MEHTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053506

License Status

CANCELLED

Business

Title

First Name

PARTH

Middle

HEMANTKUMAR

Last Name

MEHTA

Business Name

PARTH HEMANTKUMAR MEHTA MD

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

06/19/2010

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/07/2007