Dipti A Modi Dds
InactiveIllinois license 019024410
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019024410
- Status
- Inactive
- First issued
- March 14, 1997
- Expired
- September 30, 1998
- License holder
- Dipti A Modi Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 03/14/1997
Contact
Woodbridge, NJ 07095
New Jersey County