PARTH HEMANTKUMAR MEHTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

PARTH

Middle

HEMANTKUMAR

Last Name

MEHTA

Business Name

PARTH HEMANTKUMAR MEHTA MD

Original Issue Date

07/13/2009

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023