SANJAY S MEHTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

SANJAY

Middle

Last Name

MEHTA

Suffix

Business Name

SANJAY S MEHTA MD

Original Issue Date

06/23/2006

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023