SNESHA HARSHIT MODI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

SNESHA

Middle

HARSHIT

Last Name

MODI

Suffix

Business Name

SNESHA HARSHIT MODI MD

Original Issue Date

08/05/2011

Effective Date

08/05/2011

Expiration Date

07/31/2014

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014