HARESH B MODI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

HARESH B

Last Name

MODI

Suffix

Business Name

HARESH B MODI MD

Original Issue Date

07/17/1985

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021