Marilyn S Modak
Medical - Physician Assistant
Minnesota 8871 Canceled
This Minnesota license was held by Marilyn S Modak. The license is no longer active. It was granted on 07/01/1988 and expired on 06/30/2000
LICENSE DETAILS
- License Number: 8871
- Category: Physician Assistant
- Status: Canceled
- Date Granted: 07/01/1988 (almost 37 years ago)
- Expiry Date: 06/30/2000 (almost 25 years ago)
LOCATIONS
A Address
4299 McDonald Drive N, Stillwater, MN 55082