License holder summary

SHIVANI A PATEL is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for SHIVANI A PATEL is Basking Ridge NJ 07920. This licensed professional license is not current. The license was granted 06/07/2012 and expired on 06/07/2013.

Pennsylvania

Department of State

SHIVANI A PATEL
Temporary Physician Assistant
License number
TMA052656
Date granted
06/07/2012
Date expires
06/07/2013
Class
Temporary Physician Assistant
Status
Voided
Address
Basking Ridge NJ 07920
palicensing.org
ID 16655575
LAST UPDATED 2024-05-09 04:07:59 UTC

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