ANISH DINU PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001399

License Status

NOT RENEWED

Business

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

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006