ANKITA MODI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045019

License Status

EXPIRED

Business

First Name

ANKITA

Last Name

MODI

Business Name

ANKITA MODI

Original Issue Date

06/26/2002

Effective Date

06/26/2002

Expiration Date

06/25/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006