DIPAL DINESH PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004972

License Status

NOT RENEWED

Business

First Name

DIPAL

Middle

DINESH

Last Name

PATEL

Business Name

DIPAL DINESH PATEL

Original Issue Date

01/14/2014

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

WEBSTER

State

Zip

14580

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022