PRIYA AMRUTLAL PATEL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

INOPERATIVE

Business

First Name

PRIYA

Middle

AMRUTLAL

Last Name

PATEL

Business Name

PRIYA AMRUTLAL PATEL

Original Issue Date

08/20/2012

Effective Date

08/20/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2013