VIKASH CHIRAAG MODI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

VIKASH

Middle

CHIRAAG

Last Name

MODI

Business Name

VIKASH CHIRAAG MODI MD

Original Issue Date

06/18/2024

Effective Date

06/18/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2024