ANKEETA RAJESH MEHTA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066729

License Status

CANCELLED

Business

Title

First Name

ANKEETA

Middle

RAJESH

Last Name

MEHTA

Business Name

ANKEETA RAJESH MEHTA DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/30/2018