JAY RASHMI MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

JAY

Middle

RASHMI

Last Name

MEHTA

Suffix

Business Name

JAY RASHMI MEHTA MD

Original Issue Date

07/16/2008

Effective Date

07/16/2008

Expiration Date

07/31/2011

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011