POONAM PATEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011825

License Status

ACTIVE

Business

First Name

POONAM

Last Name

PATEL

Business Name

POONAM PATEL

Original Issue Date

10/29/2025

Effective Date

10/29/2025

Expiration Date

03/01/2026

City

CHARLOTTESVILLE

State

Zip

22911

Ever Disciplined

LastModifiedDate

12/03/2025