PRIYA V PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

NOT RENEWED

Business

First Name

PRIYA

Middle

Last Name

PATEL

Business Name

PRIYA V PATEL

Original Issue Date

09/15/2016

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020