KRUPA 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

KRUPA

Last Name

PATEL

Business Name

KRUPA PATEL

Original Issue Date

11/01/2011

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2018