PRIYANKA SHAH-MODI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029585

License Status

NOT RENEWED

Business

Title

DDS

First Name

PRIYANKA

Last Name

SHAH-MODI

Business Name

PRIYANKA SHAH-MODI DDS

Original Issue Date

07/31/2013

Effective Date

08/19/2015

Expiration Date

09/30/2018

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018