PUJA DILIP MEHTA MATHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

PUJA

Middle

DILIP

Last Name

MEHTA MATHER

Business Name

PUJA DILIP MEHTA MATHER MD

Original Issue Date

07/01/2022

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

ALSIP

State

Zip

60803

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023