NEEPA BIPIN MODI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

NEEPA

Middle

BIPIN

Last Name

MODI

Suffix

DDS

Business Name

NEEPA BIPIN MODI DDS

Original Issue Date

10/03/2003

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/10/2024