RAVI SURAJMAL MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

RAVI

Middle

SURAJMAL

Last Name

MEHTA

Suffix

Business Name

RAVI SURAJMAL MEHTA MD

Original Issue Date

06/16/1995

Effective Date

10/21/2015

Expiration Date

07/31/2017

City

SCHAUMBURG

State

Zip

60173

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020