MANOJ KUMAR MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

MANOJ KUMAR

Last Name

MEHTA

Suffix

Business Name

MANOJ KUMAR MEHTA MD

Original Issue Date

03/21/2013

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020