DIMPLE H MODI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136570

License Status

ACTIVE

Business

First Name

DIMPLE

Middle

Last Name

MODI

Business Name

DIMPLE H MODI

Original Issue Date

09/29/2014

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

MARIETTA

State

Zip

30062

Ever Disciplined

LastModifiedDate

04/11/2023