SHIVANI MEHTA - Physician Assistant License in Illinois | # 085003670

SHIVANI MEHTA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003670

License Status

NOT RENEWED

Business

N

First Name

SHIVANI

Last Name

MEHTA

Business Name

SHIVANI MEHTA

Original Issue Date

12/10/2009

Effective Date

04/06/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

08/20/2025