ANISH DINU PATEL - Physician Assistant License in Illinois | # 085001399

ANISH DINU PATEL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001399

License Status

NOT RENEWED

Business

N

First Name

ANISH

Middle

DINU

Last Name

PATEL

Business Name

ANISH DINU PATEL

Original Issue Date

06/26/2000

Effective Date

06/26/2000

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006