APARNA MODI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125200

License Status

NOT RENEWED

Business

Title

First Name

APARNA

Last Name

MODI

Business Name

APARNA MODI MD

Original Issue Date

03/15/2010

Effective Date

03/15/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011