PRIYA AMRUTLAL PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004417

License Status

NOT RENEWED

Business

First Name

PRIYA

Middle

AMRUTLAL

Last Name

PATEL

Business Name

PRIYA AMRUTLAL PATEL

Original Issue Date

08/20/2012

Effective Date

08/20/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014