ANNU PRAVEEN MEHTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

ANNU

Middle

PRAVEEN

Last Name

MEHTA

Business Name

ANNU PRAVEEN MEHTA MD

Original Issue Date

10/29/2013

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023