KRUPA PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003701

License Status

NOT RENEWED

Business

First Name

KRUPA

Last Name

PATEL

Business Name

KRUPA PATEL

Original Issue Date

02/18/2010

Effective Date

03/15/2018

Expiration Date

03/01/2020

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/24/2020