PALAK MODI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

Title

DDS

First Name

PALAK

Last Name

MODI

Business Name

PALAK MODI DDS

Original Issue Date

07/21/2023

Effective Date

08/21/2024

Expiration Date

09/30/2027

City

PALATINE

State

Zip

60067

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2024