AVANI SUSHILKUMAR MOHTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077206

License Status

EXPIRED

Business

Title

First Name

AVANI

Middle

SUSHILKUMAR

Last Name

MOHTA

Business Name

AVANI SUSHILKUMAR MOHTA MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024