MAMTA RANI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002127

License Status

ACTIVE

Business

First Name

MAMTA

Last Name

RANI

Business Name

MAMTA RANI

Original Issue Date

10/16/2003

Effective Date

12/26/2025

Expiration Date

03/01/2028

City

BROOKINGS

State

Zip

57006

Ever Disciplined

LastModifiedDate

12/26/2025