JASVANT N MODI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057735

License Status

INACTIVE

Business

First Name

JASVANT

Middle

Last Name

MODI

Suffix

Business Name

JASVANT N MODI MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

07/31/1984

City

LA PALMA

State

Zip

90623

Ever Disciplined

LastModifiedDate

07/06/2010

Case Number

2010003706

Action

Refuse To Renew

Discipline Start Date

07/06/2010

Discipline Reason

due to a sister-state discipline.