SAUMYA AMITKUMAR MEHTA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071021

License Status

CANCELLED

Business

Title

First Name

SAUMYA

Middle

AMITKUMAR

Last Name

MEHTA

Business Name

SAUMYA AMITKUMAR MEHTA DO

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2017