RITA D MODY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065511

License Status

INACTIVE

Business

First Name

RITA D

Last Name

MODY

Suffix

Business Name

RITA D MODY MD

Original Issue Date

10/18/1982

Effective Date

10/18/1982

Expiration Date

07/31/1987

City

OAK CREEK

State

Zip

53154

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006