SAMATA J SHROFF Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002527

License Status

ACTIVE

Business

First Name

SAMATA

Middle

Last Name

SHROFF

Business Name

SAMATA J SHROFF

Original Issue Date

08/09/2005

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

VERNON HILLS

State

Zip

60061

Ever Disciplined

LastModifiedDate

12/09/2025