CHANDRAKANT M MODI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044793

License Status

NOT RENEWED

Business

First Name

CHANDRAKANT M

Last Name

MODI

Suffix

Business Name

CHANDRAKANT M MODI MD

Original Issue Date

09/16/1971

Effective Date

08/12/2020

Expiration Date

07/31/2023

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023