ASHOK KANTILAL MODH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062781

License Status

NOT RENEWED

Business

First Name

ASHOK KANTILAL

Last Name

MODH

Suffix

Business Name

ASHOK KANTILAL MODH MD

Original Issue Date

08/03/1981

Effective Date

08/03/1981

Expiration Date

07/31/1984

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006