FORAM PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009122

License Status

NOT RENEWED

Business

First Name

FORAM

Last Name

PATEL

Business Name

FORAM PATEL

Original Issue Date

07/25/2022

Effective Date

07/25/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025