KEYUR V MODI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031844

License Status

EXPIRED

Business

First Name

KEYUR

Middle

Last Name

MODI

Business Name

KEYUR V MODI

Original Issue Date

06/15/1994

Effective Date

06/15/1994

Expiration Date

06/23/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006