KANAN MODHWADIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154508

License Status

ACTIVE

Business

Title

First Name

KANAN

Last Name

MODHWADIA

Business Name

KANAN MODHWADIA MD

Original Issue Date

10/14/2020

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

Ever Disciplined

LastModifiedDate

07/12/2023