KAMAL MODIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041279

License Status

NOT RENEWED

Business

First Name

KAMAL

Last Name

MODIR

Suffix

Business Name

KAMAL MODIR MD

Original Issue Date

08/07/1967

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017