TOSHA R KADAKIA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

NOT RENEWED

Business

First Name

TOSHA

Middle

Last Name

KADAKIA

Business Name

TOSHA R KADAKIA

Original Issue Date

11/13/2020

Effective Date

02/28/2022

Expiration Date

03/01/2024

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025