PRASHANT JAGDISH MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136162

License Status

NOT RENEWED

Business

Title

First Name

PRASHANT

Middle

JAGDISH

Last Name

MEHTA

Business Name

PRASHANT JAGDISH MEHTA MD

Original Issue Date

08/06/2014

Effective Date

08/06/2014

Expiration Date

07/31/2017

City

SOMERSET

State

Zip

08873

Ever Disciplined

LastModifiedDate

11/01/2017