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Licensing details for: A 206119

Name: Patel, Purniyashree

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: St. George's University School of Medicine

Graduation Year: 2022

Address of Record

4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE county
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Issuance Date

November 21, 2025

Expiration Date

January 31, 2028

Current Date / Time

April 10, 2026
6:37:22 AM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Patel, Purniyashree

License/Registration Type: Postgraduate Training License

License Number: 14202 Primary Status: License Canceled

Address :
4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

No AB 133 Survey Information Provided by Licensee

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