ANDREW MODI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

ANDREW

Last Name

MODI

Suffix

DDS

Business Name

ANDREW MODI DDS

Original Issue Date

01/26/1999

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

SCHAUMBURG

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024