SMIT PRATIK MEHTA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073666

License Status

CANCELLED

Business

Title

First Name

SMIT

Middle

PRATIK

Last Name

MEHTA

Business Name

SMIT PRATIK MEHTA DO

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/02/2019