KHUSHBU SURESH MODY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031003

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022