REKHA B MODUR DDS - Dentist License in Illinois | # 018001349

REKHA B MODUR DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001349

License Status

EXPIRED

Business

N

First Name

REKHA

Middle

B

Last Name

MODUR

Suffix

DDS

Business Name

REKHA B MODUR DDS

Original Issue Date

06/26/2002

Effective Date

06/26/2002

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005