AMY MEHTA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****08

NOT RENEWED

N

MD

AMY

MEHTA

AMY MEHTA MD

03/21/2018

03/21/2018

09/30/2020

CHICAGO

IL

60612

COOK

PRACTITIONER

II III IV V

N

01/14/2021