MANSI PATEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

ACTIVE

Business

First Name

MANSI

Last Name

PATEL

Business Name

MANSI PATEL

Original Issue Date

12/18/2025

Effective Date

12/18/2025

Expiration Date

03/01/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/18/2025