ANAND DAVE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

NOT RENEWED

Business

First Name

ANAND

Last Name

DAVE

Business Name

ANAND DAVE

Original Issue Date

11/16/2021

Effective Date

01/20/2022

Expiration Date

03/01/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025