VIBHAKAR J MODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047012

License Status

NOT RENEWED

Business

First Name

VIBHAKAR J

Last Name

MODY

Suffix

Business Name

VIBHAKAR J MODY MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

City

COLLEGE PARK

State

Zip

20740

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006