License holder summary

Praveen S Mehta is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Praveen S Mehta is VA Great Lakes Health Care, 11301 W.Cermak Rd , 4 Westbrook Corp Ctr , # 810, Westchester 60154. This licensed professional license is current. The license was granted 08/07/2002 and expired on 07/19/2017.

Massachusetts

Division of Professional Licensure

Praveen S Mehta
Board Of Registration In Medicine
License number
215909
Date granted
08/07/2002
Date expires
07/19/2017
Class
Board Of Registration In Medicine
Status
Active
Address
VA Great Lakes Health Care, 11301 W.Cermak Rd , 4 Westbrook Corp Ctr , # 810
licensingma.org
ID 41455977
LAST UPDATED 2024-03-29 22:02:07 UTC

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