AMIT KUMAR MEHROTRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

AMIT

Middle

KUMAR

Last Name

MEHROTRA

Suffix

Business Name

AMIT KUMAR MEHROTRA MD

Original Issue Date

08/07/2015

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023