HARSHAL H JANI Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

INOPERATIVE

Business

First Name

HARSHAL

Middle

Last Name

JANI

Business Name

HARSHAL H JANI

Original Issue Date

05/27/2005

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/02/2018