YASMIN B MODY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

YASMIN B

Last Name

MODY

Business Name

YASMIN B MODY

Original Issue Date

02/07/1986

Effective Date

06/09/2009

Expiration Date

09/30/2012

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012