AVNI R PATEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

ACTIVE

Business

First Name

AVNI

Middle

Last Name

PATEL

Business Name

AVNI R PATEL

Original Issue Date

12/09/2004

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

BURR RIDGE

State

Zip

60527

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2026