ANKIT MODH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149185

License Status

NOT RENEWED

Business

Title

First Name

ANKIT

Last Name

MODH

Business Name

ANKIT MODH MD

Original Issue Date

04/24/2019

Effective Date

07/02/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023