Dr. MICHAEL TERRANCE MODIC
Idaho TLM-2918 Upgraded
This Idaho license was held by Dr. MICHAEL TERRANCE MODIC. The license is no longer active. It was granted on 03/21/2000
LICENSE DETAILS
- License Number: TLM-2918
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 03/21/2000 (about 25 years ago)
LOCATIONS
A Residential
PO Box 27 SEVILLE OH 44273