REKHA B MODUR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

First Name

REKHA

Middle

Last Name

MODUR

Suffix

DDS

Business Name

REKHA B MODUR DDS

Original Issue Date

02/09/2004

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024