MALLIKA MODAK PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081303

License Status

ACTIVE

Business

Title

First Name

MALLIKA

Middle

MODAK

Last Name

PATEL

Business Name

MALLIKA MODAK PATEL MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

02/05/2024