SHILPA MEHTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

SHILPA

Last Name

MEHTA

Business Name

SHILPA MEHTA

Original Issue Date

09/18/2000

Effective Date

09/18/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020