ARCHANA VIMAL PATEL Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

CANCELLED

Business

First Name

ARCHANA

Middle

VIMAL

Last Name

PATEL

Business Name

ARCHANA VIMAL PATEL

Original Issue Date

03/13/2001

Effective Date

10/30/2007

Expiration Date

03/01/2008

City

SAINT CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

10/09/2006