TRUSHA KAMLESH PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

NOT RENEWED

Business

First Name

TRUSHA

Middle

KAMLESH

Last Name

PATEL

Business Name

TRUSHA KAMLESH PATEL

Original Issue Date

10/09/2009

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

AURORA

State

Zip

60505

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2018