SANGINI DINESH PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

NOT RENEWED

Business

First Name

SANGINI

Middle

DINESH

Last Name

PATEL

Business Name

SANGINI DINESH PATEL

Original Issue Date

11/09/2017

Effective Date

02/04/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022