HETAL GOVIND SHARMA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

NOT RENEWED

Business

First Name

HETAL

Middle

GOVIND

Last Name

SHARMA

Business Name

HETAL GOVIND SHARMA

Original Issue Date

07/31/2012

Effective Date

02/24/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

12/17/2018