VAISHALI R MODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109099

License Status

NOT RENEWED

Business

First Name

VAISHALI

Middle

Last Name

MODY

Suffix

Business Name

VAISHALI R MODY MD

Original Issue Date

04/28/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011