MICHELLE SARAH MODAFF DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025256

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

SARAH

Last Name

MODAFF

Suffix

DDS

Business Name

MICHELLE SARAH MODAFF DDS

Original Issue Date

05/04/2000

Effective Date

09/28/2009

Expiration Date

09/30/2012

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/06/2012