SHRUHI MODI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011001

License Status

ACTIVE

Business

First Name

SHRUHI

Last Name

MODI

Business Name

SHRUHI MODI

Original Issue Date

12/03/2024

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2026