HARSHAL H JANI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002455

License Status

NOT RENEWED

Business

First Name

HARSHAL

Middle

Last Name

JANI

Business Name

HARSHAL H JANI

Original Issue Date

01/28/2005

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/10/2018