PRUTHVI PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008797

License Status

NOT RENEWED

Business

First Name

PRUTHVI

Last Name

PATEL

Business Name

PRUTHVI PATEL

Original Issue Date

01/03/2022

Effective Date

01/03/2022

Expiration Date

03/01/2024

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025