SHIVALI KANAL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009409

License Status

ACTIVE

Business

First Name

SHIVALI

Last Name

KANAL

Business Name

SHIVALI KANAL

Original Issue Date

11/26/2022

Effective Date

02/02/2024

Expiration Date

03/01/2026

City

BRENTWOOD

State

Zip

37027

Ever Disciplined

LastModifiedDate

12/03/2025