PAYAL D PANDYA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

INOPERATIVE

Business

First Name

PAYAL

Middle

Last Name

PANDYA

Business Name

PAYAL D PANDYA

Original Issue Date

09/24/2013

Effective Date

02/16/2016

Expiration Date

03/01/2018

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018