DHARMESH S MEHTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

CANCELLED

Business

First Name

DHARMESH

Middle

Last Name

MEHTA

Suffix

Business Name

DHARMESH S MEHTA MD

Original Issue Date

09/14/2006

Effective Date

09/14/2006

Expiration Date

07/31/2008

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008