HARSHA VIKRAM MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

HARSHA

Middle

VIKRAM

Last Name

MEHTA

Suffix

Business Name

HARSHA VIKRAM MEHTA MD

Original Issue Date

01/20/1999

Effective Date

09/23/2020

Expiration Date

07/31/2023

City

NORTHFIELD

State

Zip

60093

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023