AANAL A NANAVATI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

NOT RENEWED

Business

First Name

AANAL

Middle

Last Name

NANAVATI

Business Name

AANAL A NANAVATI

Original Issue Date

09/12/2011

Effective Date

03/05/2012

Expiration Date

03/01/2014

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014