VISHAKHA MODI SHARMA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049437

License Status

CANCELLED

Business

First Name

VISHAKHA

Middle

MODI

Last Name

SHARMA

Suffix

Business Name

VISHAKHA MODI SHARMA MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006