PAYAL PRADIP DESAI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

NOT RENEWED

Business

First Name

PAYAL

Middle

PRADIP

Last Name

DESAI

Business Name

PAYAL PRADIP DESAI

Original Issue Date

07/22/2009

Effective Date

02/07/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014