AVANI GOKALDAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002344

License Status

NOT RENEWED

Business

First Name

AVANI

Last Name

GOKALDAS

Business Name

AVANI GOKALDAS

Original Issue Date

09/21/2004

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/01/2010