SACHI MEHTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

NOT RENEWED

Business

First Name

SACHI

Last Name

MEHTA

Business Name

SACHI MEHTA

Original Issue Date

10/23/2018

Effective Date

10/23/2018

Expiration Date

03/01/2020

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020