PURNIMA S MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

PURNIMA S

Last Name

MEHTA

Suffix

Business Name

PURNIMA S MEHTA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011