Jasvant N Modi Md
Revoked or deniedIllinois license 036057735
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036057735
- Status
- Revoked or denied (Refuse To Renew)
- First issued
- August 21, 1978
- Expired
- July 31, 1984
- License holder
- Jasvant N Modi Md
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 08/21/1978
- Ever disciplined
- Yes
- Discipline case
- 2010003706
- Discipline action
- Refuse To Renew
- Discipline reason
- Due to A Sister-State Discipline.
- Discipline dates
- 07/06/2010
Other Illinois licenses under this name
-
IL
ExpiredChicago, ILExpired Jul 31, 1984
Contact
La Palma, CA 90623