KETKI C MODI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096575

License Status

ACTIVE

Business

First Name

KETKI C

Last Name

MODI

Business Name

KETKI C MODI

Original Issue Date

08/27/1997

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2023