ASHOK KANTILAL MODH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

ASHOK KANTILAL

Last Name

MODH

Suffix

Business Name

ASHOK KANTILAL MODH MD

Original Issue Date

08/26/1981

Effective Date

08/26/1981

Expiration Date

07/31/1984

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006