KHUSHBU SURESH MODY DDS - Dentist License in Illinois | # 019031003

KHUSHBU SURESH MODY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031003

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

KHUSHBU

Middle

SURESH

Last Name

MODY

Business Name

KHUSHBU SURESH MODY DDS

Original Issue Date

12/07/2016

Effective Date

09/19/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022