TEJAL N PATEL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

INOPERATIVE

Business

First Name

TEJAL

Middle

Last Name

PATEL

Business Name

TEJAL N PATEL

Original Issue Date

08/05/2013

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2018