MAULIBEN N PATEL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

INOPERATIVE

Business

First Name

MAULIBEN

Middle

Last Name

PATEL

Business Name

MAULIBEN N PATEL

Original Issue Date

07/02/2008

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

12/18/2019