CHIRAG MANOJ MODI MD - Medical Doctor License in New Jersey | # 125071397

CHIRAG MANOJ MODI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071397

License Status

EXPIRED

Business

N

Title

MD

First Name

CHIRAG

Middle

MANOJ

Last Name

MODI

Business Name

CHIRAG MANOJ MODI MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2018

State

NJ

Specialty/Qualifier

Transitional Year

Ever Disciplined

N

LastModifiedDate

10/25/2018