AMISHI H MEHTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058415

License Status

CANCELLED

Business

Title

First Name

AMISHI

Middle

Last Name

MEHTA

Business Name

AMISHI H MEHTA MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/03/2010