NILESH DUSHYANTBHAI MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

NILESH

Middle

DUSHYANTBHAI

Last Name

MEHTA

Business Name

NILESH DUSHYANTBHAI MEHTA MD

Original Issue Date

11/19/2013

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

LINDENHURST

State

Zip

60046

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021