ALPA VAGHASIYA MODI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044064

License Status

EXPIRED

Business

First Name

ALPA

Middle

VAGHASIYA

Last Name

MODI

Suffix

Business Name

ALPA VAGHASIYA MODI DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006