MUKUNDINI S MEHTA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

MUKUNDINI S

Last Name

MEHTA

Business Name

MUKUNDINI S MEHTA

Original Issue Date

01/01/1997

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CICERO

State

Zip

60804

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023