MANOJ V MODY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

MANOJ V

Last Name

MODY

Business Name

MANOJ V MODY

Original Issue Date

01/29/1992

Effective Date

05/03/2011

Expiration Date

07/31/2014

City

SAINT CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014