SAPNA MODI AMIN MD - Medical Doctor License in Illinois | # 125066035

SAPNA MODI AMIN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066035

License Status

EXPIRED

Business

N

Title

MD

First Name

SAPNA

Middle

MODI

Last Name

AMIN

Business Name

SAPNA MODI AMIN MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

State

IL

Specialty/Qualifier

Dermatology Training Track Fellowship

Ever Disciplined

N

LastModifiedDate

08/16/2016