HARSHA SHRIKANT MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

HARSHA SHRIKANT

Last Name

MEHTA

Suffix

Business Name

HARSHA SHRIKANT MEHTA MD

Original Issue Date

10/05/2004

Effective Date

10/05/2004

Expiration Date

07/31/2008

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020