GAUTAM RAJU MEHTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064200

License Status

CANCELLED

Business

Title

First Name

GAUTAM

Middle

RAJU

Last Name

MEHTA

Business Name

GAUTAM RAJU MEHTA MD

Original Issue Date

07/02/2013

Effective Date

07/02/2013

Expiration Date

07/01/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014