ALPA VAGHASIYA MODI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111889

License Status

ACTIVE

Business

First Name

ALPA

Middle

VAGHASIYA

Last Name

MODI

Suffix

Business Name

ALPA VAGHASIYA MODI DO

Original Issue Date

07/19/2004

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

07/04/2023