VIKAS MEHTA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****01

NOT RENEWED

N

MD

VIKAS

MEHTA

VIKAS MEHTA MD

05/14/2012

05/14/2012

07/31/2014

MAYWOOD

IL

60153

COOK

PRACTITIONER

IV V

N

04/05/2020