PRIANCA PATEL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

INOPERATIVE

Business

First Name

PRIANCA

Last Name

PATEL

Business Name

PRIANCA PATEL

Original Issue Date

07/28/2020

Effective Date

03/01/2022

Expiration Date

03/01/2024

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2023