AMIT BAKULESH MEHTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

AMIT

Middle

BAKULESH

Last Name

MEHTA

Suffix

Business Name

AMIT BAKULESH MEHTA MD

Original Issue Date

06/03/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

LINCOLNSHIRE

State

Zip

60069

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023