PREETI MODI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050247

License Status

EXPIRED

Business

First Name

PREETI

Last Name

MODI

Suffix

Business Name

PREETI MODI MD

Original Issue Date

06/21/2005

Effective Date

06/21/2005

Expiration Date

06/20/2008

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008