PRATIK PARESH VAIDYA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

ACTIVE

Business

First Name

PRATIK

Middle

PARESH

Last Name

VAIDYA

Business Name

PRATIK PARESH VAIDYA

Original Issue Date

04/20/2020

Effective Date

03/04/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025