TANAYA N PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001666

License Status

NOT RENEWED

Business

First Name

TANAYA N

Last Name

PATEL

Business Name

TANAYA N PATEL

Original Issue Date

11/01/2001

Effective Date

11/01/2001

Expiration Date

03/01/2008

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

12/24/2015