PRUTHVI PATEL - Physician Assistant License in Illinois | # 085008797

PRUTHVI PATEL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008797

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025