SANDEEP DHANESHKUMAR MEHTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

SANDEEP

Middle

DHANESHKUMAR

Last Name

MEHTA

Suffix

Business Name

SANDEEP DHANESHKUMAR MEHTA MD

Original Issue Date

02/24/2005

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023