DARSHAN H MEHTA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

CANCELLED

Business

First Name

DARSHAN

Middle

Last Name

MEHTA

Business Name

DARSHAN H MEHTA

Original Issue Date

01/20/2005

Effective Date

01/20/2005

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006