PAYAL PRADIP DESAI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003455

License Status

NOT RENEWED

Business

First Name

PAYAL

Middle

PRADIP

Last Name

DESAI

Business Name

PAYAL PRADIP DESAI

Original Issue Date

04/28/2009

Effective Date

02/07/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014