VIKASH K MODI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117122

License Status

NOT RENEWED

Business

First Name

VIKASH

Middle

Last Name

MODI

Business Name

VIKASH K MODI

Original Issue Date

11/01/2006

Effective Date

11/01/2006

Expiration Date

07/31/2008

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

11/06/2008