NUPUR SANJAY MODY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000402

License Status

EXPIRED

Business

Title

First Name

NUPUR

Middle

SANJAY

Last Name

MODY

Business Name

NUPUR SANJAY MODY MD

Original Issue Date

03/08/2010

Effective Date

03/08/2010

Expiration Date

09/07/2010

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/13/2010