SHIVAM G PATEL - Physician Assistant License in Massachusetts | # 085007987

SHIVAM G PATEL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007987

License Status

NOT RENEWED

Business

N

First Name

SHIVAM

Middle

G

Last Name

PATEL

Business Name

SHIVAM G PATEL

Original Issue Date

10/02/2020

Effective Date

10/02/2020

Expiration Date

03/01/2022

State

MA

Ever Disciplined

N

LastModifiedDate

07/27/2022