JIGNESH P MODI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

JIGNESH

Middle

Last Name

MODI

Business Name

JIGNESH P MODI MD

Original Issue Date

05/11/2010

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023