BHUPENDRA M MODY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

BHUPENDRA M

Last Name

MODY

Business Name

BHUPENDRA M MODY

Original Issue Date

08/16/1982

Effective Date

06/11/2015

Expiration Date

09/30/2018

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018