TEHMTON S MISTRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

TEHMTON S

Last Name

MISTRY

Suffix

Business Name

TEHMTON S MISTRY MD

Original Issue Date

09/06/1983

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011