REENA ALAP MEHTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

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

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018