MITAL D MEHTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041319290

License Status

NOT RENEWED

Business

First Name

MITAL

Middle

Last Name

MEHTA

Business Name

MITAL D MEHTA

Original Issue Date

04/25/2000

Effective Date

03/23/2020

Expiration Date

08/31/2022

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2022