PAYAL D PANDYA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004790

License Status

NOT RENEWED

Business

First Name

PAYAL

Middle

Last Name

PANDYA

Business Name

PAYAL D PANDYA

Original Issue Date

08/01/2013

Effective Date

02/16/2016

Expiration Date

03/01/2018

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018