Modak, Marilyn S
Physician Assistant
Wisconsin 1025-23 Expired
This Wisconsin license was held by Modak, Marilyn S. The license is no longer active. It was granted on 04/10/1998 and expired on 10/31/1999
LICENSE DETAILS
- License Number: 1025-23
- Category: Physician Assistant
- Status: Expired
- Date Granted: 04/10/1998 (about 27 years ago)
- Expiry Date: 10/31/1999 (over 25 years ago)