SHRADDHA G MAHADEVIA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003870

License Status

NOT RENEWED

Business

First Name

SHRADDHA

Middle

Last Name

MAHADEVIA

Business Name

SHRADDHA G MAHADEVIA

Original Issue Date

09/16/2010

Effective Date

09/16/2010

Expiration Date

03/01/2012

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012