VIJAY A MEHTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111355

License Status

NOT RENEWED

Business

First Name

VIJAY

Middle

Last Name

MEHTA

Business Name

VIJAY A MEHTA

Original Issue Date

05/20/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BRISTOL

State

Zip

46507

Ever Disciplined

LastModifiedDate

11/06/2008