PRAVEEN S MEHTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

PRAVEEN

Middle

Last Name

MEHTA

Suffix

Business Name

PRAVEEN S MEHTA MD

Original Issue Date

09/24/1993

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023