HARENDRA H MEHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104547

License Status

NOT RENEWED

Business

First Name

HARENDRA

Middle

Last Name

MEHTA

Suffix

Business Name

HARENDRA H MEHTA MD

Original Issue Date

04/18/2001

Effective Date

04/18/2001

Expiration Date

07/31/2002

City

JACKSON HEIGHTS

State

Zip

11372

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006