MAITRI MEHTA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078487

License Status

EXPIRED

Business

Title

First Name

MAITRI

Last Name

MEHTA

Business Name

MAITRI MEHTA DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61104

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2024