ASHIMA D MEHTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

ASHIMA D

Last Name

MEHTA

Suffix

Business Name

ASHIMA D MEHTA MD

Original Issue Date

01/01/1997

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023