NICK D PATEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

ACTIVE

Business

First Name

NICK

Middle

Last Name

PATEL

Business Name

NICK D PATEL

Original Issue Date

10/15/2015

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026