HARSHIL PRAVEEN PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004019

License Status

NOT RENEWED

Business

First Name

HARSHIL

Middle

PRAVEEN

Last Name

PATEL

Business Name

HARSHIL PRAVEEN PATEL

Original Issue Date

04/04/2011

Effective Date

09/18/2014

Expiration Date

03/01/2016

City

LAKE HIAWATHA

State

Zip

07034

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

04/25/2016