PRASHANT JAGDISH MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

PRASHANT

Middle

JAGDISH

Last Name

MEHTA

Business Name

PRASHANT JAGDISH MEHTA MD

Original Issue Date

09/03/2014

Effective Date

09/03/2014

Expiration Date

07/31/2017

City

SOMERSET

State

Zip

08873

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017