DHARMESH R MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

DHARMESH

Middle

Last Name

MEHTA

Suffix

Business Name

DHARMESH R MEHTA MD

Original Issue Date

03/22/2010

Effective Date

03/22/2010

Expiration Date

07/31/2011

City

PALATINE

State

Zip

60074

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011