PATEL R REDDY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003547

License Status

INACTIVE

Business

First Name

PATEL

Middle

Last Name

REDDY

Business Name

PATEL R REDDY

Original Issue Date

08/25/2009

Effective Date

08/25/2009

Expiration Date

03/01/2010

City

CHEROKEE

State

Zip

51012

Ever Disciplined

LastModifiedDate

12/09/2009