KRISHNA MODI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163060

License Status

ACTIVE

Business

Title

First Name

KRISHNA

Last Name

MODI

Business Name

KRISHNA MODI DO

Original Issue Date

12/01/2022

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/27/2023