HARSHIT HARESH MODI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052271

License Status

CANCELLED

Business

First Name

HARSHIT

Middle

HARESH

Last Name

MODI

Suffix

Business Name

HARSHIT HARESH MODI MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/06/2011