Edward Louis Modesto
Dentist
Indiana 12006969A Inactive
This Indiana license was held by Edward Louis Modesto. The license is no longer active. It was granted on 06/06/1972 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12006969A
- Category: Dentist
- Status: Inactive
- Date Granted: 06/06/1972 (almost 52 years ago)
- Expiry Date: 03/01/2016 (about 8 years ago)
LOCATIONS
A Address
Orland Park IL 60467