BIJAL JASHAWANT MODI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046718

License Status

EXPIRED

Business

First Name

BIJAL

Middle

JASHAWANT

Last Name

MODI

Suffix

Business Name

BIJAL JASHAWANT MODI MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Hematology & Oncology

Ever Disciplined

LastModifiedDate

09/22/2006