TEJAL R MODI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002793

License Status

ACTIVE

Business

First Name

TEJAL

Middle

Last Name

MODI

Business Name

TEJAL R MODI

Original Issue Date

08/22/2006

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

12/31/2025