TARA MEHTA JAIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003517

License Status

ACTIVE

Business

First Name

TARA

Middle

MEHTA

Last Name

JAIN

Business Name

TARA MEHTA JAIN

Original Issue Date

07/21/2009

Effective Date

12/07/2025

Expiration Date

03/01/2028

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/07/2025