ASHU P MEHTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

ASHU

Middle

Last Name

MEHTA

Business Name

ASHU P MEHTA

Original Issue Date

01/24/2000

Effective Date

01/24/2000

Expiration Date

07/31/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006