VANITA S MODI MD - Medical Doctor License in New York | # 036069840

VANITA S MODI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069840

License Status

NOT RENEWED

Business

N

First Name

VANITA S

Last Name

MODI

Suffix

MD

Business Name

VANITA S MODI MD

Original Issue Date

11/16/1984

Effective Date

11/16/1984

Expiration Date

07/31/1987

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006