REENA ALAP MEHTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004672

License Status

NOT RENEWED

Business

First Name

REENA

Middle

ALAP

Last Name

MEHTA

Business Name

REENA ALAP MEHTA

Original Issue Date

06/04/2013

Effective Date

02/16/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018