SAPNA MODI AMIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066035

License Status

EXPIRED

Business

Title

First Name

SAPNA

Middle

MODI

Last Name

AMIN

Business Name

SAPNA MODI AMIN MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology Training Track Fellowship

Ever Disciplined

LastModifiedDate

08/16/2016