JEFFREY J MODIN MD - Medical Doctor License in Missouri | # 036072166

JEFFREY J MODIN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072166

License Status

NOT RENEWED

Business

N

First Name

JEFFREY J

Last Name

MODIN

Suffix

MD

Business Name

JEFFREY J MODIN MD

Original Issue Date

12/23/1985

Effective Date

12/23/1985

Expiration Date

07/31/1990

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006