SHEETAL MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

SHEETAL

Last Name

MEHTA

Suffix

Business Name

SHEETAL MEHTA MD

Original Issue Date

08/06/2019

Effective Date

08/06/2019

Expiration Date

09/30/2020

City

CREST HILL

State

Zip

60403

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021