STEPHANIE M MODISETT DDS
Licensed Dentist Controlled Substance
Illinois 319013112 Expired
This Illinois license was held by STEPHANIE M MODISETT DDS. The license is no longer active. It was granted on 09/17/1997 and expired on 09/30/1998
LICENSE DETAILS
- License Number: 319013112
- Category: LICENSED DENTIST CONTROLLED SUBSTANCE
- Status: Expired
- Date Granted: 09/17/1997 (over 27 years ago)
- Expiry Date: 09/30/1998 (over 26 years ago)
LOCATIONS
A Address
SAVANNAH, GA 31406