JASVANT N MODI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

JASVANT

Middle

Last Name

MODI

Suffix

Business Name

JASVANT N MODI MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006