SHIVANI MEHTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003670

License Status

NOT RENEWED

Business

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

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

08/20/2025