HETAL GOVIND SHARMA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004372

License Status

NOT RENEWED

Business

First Name

HETAL

Middle

GOVIND

Last Name

SHARMA

Business Name

HETAL GOVIND SHARMA

Original Issue Date

07/31/2012

Effective Date

02/24/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/17/2018