DEEP SANJAY MEHTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085161

License Status

ACTIVE

Business

Title

First Name

DEEP

Middle

SANJAY

Last Name

MEHTA

Business Name

DEEP SANJAY MEHTA MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

03/28/2025