HARSHIL PRAVEEN PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

NOT RENEWED

Business

First Name

HARSHIL

Middle

PRAVEEN

Last Name

PATEL

Business Name

HARSHIL PRAVEEN PATEL

Original Issue Date

01/26/2012

Effective Date

01/26/2012

Expiration Date

03/01/2014

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

11/08/2013