VIJAY A MEHTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

VIJAY

Middle

Last Name

MEHTA

Business Name

VIJAY A MEHTA

Original Issue Date

06/03/2004

Effective Date

06/03/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006