HARESH B MODI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070589

License Status

INACTIVE

Business

First Name

HARESH B

Last Name

MODI

Suffix

Business Name

HARESH B MODI MD

Original Issue Date

05/23/1985

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60565

County

WILL

Ever Disciplined

LastModifiedDate

04/05/2020