HARSHIT HARESH MODI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125695

License Status

NOT RENEWED

Business

First Name

HARSHIT

Middle

HARESH

Last Name

MODI

Suffix

Business Name

HARSHIT HARESH MODI MD

Original Issue Date

05/06/2010

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014