AVANI GOKALDAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****58

License Status

NOT RENEWED

Business

First Name

AVANI

Last Name

GOKALDAS

Business Name

AVANI GOKALDAS

Original Issue Date

08/02/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2010