AMI J PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002964

License Status

NOT RENEWED

Business

First Name

AMI

Middle

Last Name

PATEL

Business Name

AMI J PATEL

Original Issue Date

05/10/2007

Effective Date

05/10/2007

Expiration Date

03/01/2008

City

WILLOUGHBY

State

Zip

44094

County

LAKE

Ever Disciplined

LastModifiedDate

04/23/2008