PREETI MODI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119407

License Status

NOT RENEWED

Business

First Name

PREETI

Last Name

MODI

Suffix

Business Name

PREETI MODI MD

Original Issue Date

09/17/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BROADVIEW

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011