PREETI MODI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

PREETI

Last Name

MODI

Suffix

Business Name

PREETI MODI MD

Original Issue Date

09/17/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011