EKTA MODI PATEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131477

License Status

ACTIVE

Business

Title

First Name

EKTA

Middle

MODI

Last Name

PATEL

Business Name

EKTA MODI PATEL DO

Original Issue Date

09/21/2012

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023