ILYAS AHMED GUTALE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007359

License Status

ACTIVE

Business

First Name

ILYAS

Middle

AHMED

Last Name

GUTALE

Business Name

ILYAS AHMED GUTALE

Original Issue Date

10/10/2019

Effective Date

02/27/2024

Expiration Date

03/01/2026

City

DUBLIN

State

Zip

43017

Ever Disciplined

LastModifiedDate

12/03/2025