SHIVALI DAVE - Physician Assistant License in Illinois | # 085006167

SHIVALI DAVE

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006167

License Status

ACTIVE

Business

N

First Name

SHIVALI

Last Name

DAVE

Business Name

SHIVALI DAVE

Original Issue Date

04/03/2017

Effective Date

04/03/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

04/03/2026