YESHA NIRANJAN MODI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

Title

First Name

YESHA

Middle

NIRANJAN

Last Name

MODI

Business Name

YESHA NIRANJAN MODI MD

Original Issue Date

04/05/2013

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

ELGIN

State

Zip

60120

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017